Certified Dialysis Nursing Flashcards

A patient with a suspected hydrothorax has been receiving peritoneal dialysis for three years and has recently started experiencing episodes of increasing dyspnea while being treated. Technetium radionuclide scanning will be performed on the patient. The patient should be instructed to once technetium is injected into the peritoneal cavity, right?

Answer: Remain ambulatory.

After the injection and in between scans, the patient should be urged to continue walking around so that the intra-abdominal pressure can rise and the tracer can enter the pleural cavity. Typically, a scan is performed immediately after injection and then four more scans are performed every ten minutes (0, 10, 20, 30). Another scan might be finished in a few instances in two to three hours.

What is the main use of an amino-based dialysate solution?

Answer: Nutritional supplementation

An amino-based dialysate solution is used for peritoneal dialysis primarily as a nutritional supplement because it helps skeletal muscles absorb amino acids. To avoid acidosis and elevated serum urea levels, the amino-based solution is limited to one dose per day. The solution is most effective when given after meals to promote protein synthesis because it is typically absorbed within 4-6 hours. Osmotically, amino-acid solution is similar to 1.36% glucose.

A "zero lift" policy has been implemented at the hemodialysis center. Such a policy's main objective is to?

Answer: Prevent injuries.

A "zero lift" program's goal is to prevent injuries, most frequently musculoskeletal conditions that affect the muscles, nerves, and tendons. Staff members should try to avoid manual lifting as much as they can, even though they can still help patients walk and ambulate. When implementing a "zero lift" program, it's crucial that staff members are instructed on alternative techniques, such the use of assistive technology, and that the essential supplies are accessible.

A person with kidney illness in stage 4 is thinking about his alternatives. The patient should be aware that the highest percentage of survival is linked to?

Answer: Preemptive transplantation

If the patient is receiving a donated kidney from a family member or friend, preemptive transplantation is a particularly advantageous choice because the surgery may be planned for and arranged in advance without worrying that a kidney may not be available. Another benefit is a reduction in long-term expenditures, but the patient must take long-term immunosuppressive medications.

What is the most typical infection that develops after a kidney transplant?

Answer: Urinary tract

After transplantation, 45–47% of infections are caused by UTIs. They affect the donor kidney's functionality or result in renal loss and, in severe situations, death. If an infection develops within the first six months following transplant, it poses a particular risk. Due to immunosuppression, bacteriuria and UTIs may be asymptomatic. Infection rates have decreased with the use of antibiotic prophylaxis and prompt urethral catheter removal, but they still remain high.

What is the best way to make sure a patient is aware of the discharge plan when they are leaving the hospital and will be referred to a home health organization for help with peritoneal dialysis?

Answer: Telephone the patient after discharge to discuss the discharge plan.

A phone call the day following discharge is frequently appreciated and helps to ensure that the patient knows and adheres to the discharge plan because patients are frequently uncertain about discharge plans and worried about going home.

Which level of requirements has the highest priority when using Maslow's Hierarchy of requirements to define priorities in nursing care for hemodialysis patients?

Answer: Physiologic

The need for oxygen, food, urination, temperature regulation, sex, mobility, relaxation, and comfort are examples of physiological demands. Security and safety come next, then a sense of love and belonging, and finally self-worth. The highest level, self-actualization, frequently depends on addressing needs at lower levels.