The nurse is providing care to a patient receiving intermittent hemodialysis. Which of the following will the nurse assess in this patient?
1. hypotension
2. stable blood pressure and heart rate
3. slow removal of waste products
4. gradual reduction in elevated electrolyte levels
2
Rationale: Even though intermittent hemodialysis provides more efficient and effective clearance of excess fluids and solutes, it is destabilizing to the hemodynamic and electrolyte status of the patient. The patient receiving intermittent hemodialysis will need to have a stable blood pressure and heart rate. The patient will not demonstrate hypotension. Intermittent hemodialysis is a rapid way to remove waste products and unnecessary high levels of electrolytes. Continuous renal replacement therapy is a method of slowly removing waste products with a gradual reduction in elevated electrolyte levels.
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a. a lower stress level. b. undisturbed sleep throughout the night. c. an increased interest in recreational activities. d. awakening without an alarm clock in the morning.
White flecks around the perimeter of the iris in children are:
a. normally found in 40% of children b. found in a child with Down syndrome c. seen in children with congenital cataracts d. observed in children with retinal detachment