CDN Dialysis Nursing 2

Question 1

A hemodialysis patient's access site shows redness, warmth, and purulent drainage. What is the priority nursing action?

Accepted Answer

Notify the physician and obtain cultures before starting antibiotics

Answer

Signs of access infection require prompt physician notification and cultures before antibiotic initiation to guide targeted therapy.

Question 2

Which electrolyte imbalance most commonly causes muscle cramps during hemodialysis?

Accepted Answer

Hypocalcemia

Answer

Hypocalcemia during dialysis causes neuromuscular irritability leading to muscle cramps.

Question 3

A peritoneal dialysis patient develops cloudy effluent with abdominal pain and fever. The most likely diagnosis is:

Accepted Answer

Peritonitis

Answer

Cloudy effluent with abdominal pain and fever is the classic triad of peritoneal dialysis-related peritonitis.

Question 4

When calculating Kt/V for hemodialysis adequacy, what does 'K' represent?

Accepted Answer

Urea clearance of the dialyzer

Answer

In the Kt/V formula, K represents the dialyzer's urea clearance rate in mL/min.

Question 5

A dialysis patient's pre-treatment blood pressure is 85/50 mmHg. The appropriate nursing action is to:

Accepted Answer

Hold dialysis and notify the physician

Answer

Symptomatic hypotension before dialysis initiation requires physician notification before proceeding with treatment.

CDN - Certified Dialysis Nurse Practice Test