Free Dialysis Nursing Questions and Answers

Question 1

Between hemodialysis treatments, weight gain shouldn't surpass

Accepted Answer

5% of dry weight

Answer

A weight gain of 1 kg (2.2 lb) corresponds to a fluid retention of 1 liter. The ideal post-dialysis weight is dry weight after extra fluid has been eliminated. Patients may put on weight due to the glucose in dialysate solutions or lose weight due to depleted fat or muscle storage, therefore it's crucial to reassess the patient's dry weight at least every two weeks to make sure enough fluid is being removed.

Question 2

If Ms. Precy's spouse is disease-free, she queries the nurse as to the likelihood that any children may contract the illness. Should the nurse tell the patient that a child will?

Accepted Answer

Have a 50% risk of developing the disease

Answer

An autosomal dominant illness called polycystic kidney disease typically doesn't manifest until the third or fourth decade of life. Both kidneys are affected, and the cortex and medulla swell with many, sizable cysts that eat away at the kidney tissue.

Question 3

A chronic kidney disease patient has started threatening a member of his family. He declares that he intends to shoot the victim and that he wants them dead. The major duty of the nurse is to?

Accepted Answer

Warn the person at whom the threats are directed.

Answer

This example illustrates one situation where confidentiality may be compromised. In Tarasoff v. Regents of the University of California, the court held that healthcare professionals have a responsibility to alert others who have been threatened by their patient and are in risk. When a patient threatens to hurt another person, warning that person should come first even though the police may need to be called. The attending clinician should also refer the patient for examination to a psychiatrist and should check for uremic encephalopathy, which can cause unusual behavior, but this is not the first concern.

Question 4

A bloodstream infection (BSI) surveillance system has been installed at a hemodialysis facility. What should be decided after choosing this event for monitoring?

Accepted Answer

Time period for observation

Answer

The last step is to choose the duration of the observation, which might be a month, quarter, or year. A longer time period is suggested to assure measurement validity if BSIs are uncommon. Following the determination of the surveillance criteria and data items to be gathered, the method for data analysis and the procedures for data collection must be described.

Question 5

Patients taking oral iron should be encouraged to enhance absorption, right?

Accepted Answer

Take the supplement on an empty stomach.

Answer

It should be explained to patients that taking the supplement with food may result in decreased absorption. Patients should also refrain from taking supplements containing phosphate binders and should not take enteric-coated medications. Since 325 mg of ferrous sulfate three times per day is equivalent to 200 g of elemental iron per day, it is typically administered to patients.

CDN - Certified Dialysis Nurse Practice Test

CDN - Certified Dialysis Nurse Practice Test

Free Dialysis Nursing Questions and Answers