The nurse is reinforcing teaching for a patient with chronic kidney disease who is receiving hemodialysis three times a week at a hemodialysis center. Which statements should be included? (Select all that apply.)
a. "You may feel weak and fatigued after the treatment."
b. "You may not be able to eat before the treatment session."
c. "You will need to be weighed before and after the session."
d. "Report any numbness, swelling, redness, or drainage from the dialysis access site."
e. "You may experience some bleeding from the puncture site or a nosebleed. Report it if it doesn't stop within a few minutes."
f. "Your medication schedule will be the same on dialysis days."
ANS: A, B, C, D, E
A, B, C, D, and E are correct. Sessions cause fatigue and the need to rest. Eating may not be possible for some patients as digestion of food causes blood diversion to the gastrointestinal (GI) tract which can drop blood pressure as fluid is removed during dialysis. Weight must be monitored to determine effect of treatment. Side effects must be reported at the access site and if bleeding from the heparin occurs. Medications may need to be held before dialysis, such as antihypertensives.
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