NCLEX-RN

Category - Reduction of Risk

A nurse is caring for an afebrile client who is about to undergo a hemodialysis treatment. The nurse includes the following nursing actions before the start of the treatment except:
  1. Weigh the client
  2. Palpate over the fistula to assess patency
  3. Withhold antibiotics
  4. Administer antihypertensives
Explanation
Answer - D - Antihypertensive medications are withheld before hemodialysis treatment because they can have an effect the client’s blood pressure. Medications that could be dialyzed off, such as water-soluble vitamins and antibiotics, are also withheld. Antibiotics are not withheld in febrile clients.
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