A client is experiencing a multisystem fluid volume deficit after hemodialysis. The nurse assesses the symptoms present as tachycardia; pale, cool skin; and decreased urine output
The nurse determines that the client has not met the expected outcome for a client on hemodialysis, which would be to experience: 1. A reduction of extracellular fluid.
2. The pharmacological effects of a diuretic infused in the dialysate.
3. The effects of rapidly infused intravenous fluids.
4. Cardiac failure.
1. Experience a reduction of extracellular fluid.
Rationale:
The client on hemodialysis is expected to have a reduction of extracellular fluid, not a fluid deficit that puts the client at risk. Diuretics are not administered during hemodialysis nor are IV fluids. Cardiac failure would not be an expected outcome of treatment.
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