Prior to initiating routine hemodialysis for the patient with end stage renal disease (ESRD), which assessments does the nurse perform? Select all that apply.

Vital signs (heart rate, blood pressure) , Weight, Electrolyte levels. When preparing a patient for hemodialysis, the nurse must assess body weight, heart rate and rhythm, and lab values that would be affected by the dialysis. Labs usually include BUN (generally not creatinine in the case ESRD), electrolyte levels, liver panels, and CBC. The AV fistula site should be inspected. Other general assessments include the patient's understanding of the purpose and procedure, and reconciling patient medications. Capillary refill is not routinely assessed prior to hemodialysis. Urine output is largely irrelevant in ESRD, and does not influence nursing management.

Prior to initiating routine hemodialysis for the patient with end...

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Physiological Adaptation
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Category: Physiological Adaptation
Difficulty: 7

Topics: Cardiovascular Endocrine Assessment Elimination Fluid and Electrolytes

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