Question

A patient with end-stage renal disease (ESRD) secondary to DM 2 has arrived for hemodialysis. Which assessments should the nurse perform as a priority before, during, and after the treatment?

A) Baseline weight, postdialysis blood pressure, and vascular access.
B) Baseline skin turgor, dialysate color, and weight changes.
C) Blood pressure, dietary intake, and postdialysis electrolytes.
D) Intake and output, lung sounds, and blood pressure.

Answer 1

Priority assessments for ESRD patients undergoing hemodialysis include pre-dialysis baseline weight, blood pressure, vascular access patency, and post-dialysis blood pressure and weight changes to monitor fluid removal and patient stability.

Step-by-step explanation:

Before starting hemodialysis treatment for a patient with end-stage renal disease (ESRD) secondary to DM 2, it is important to perform several priority assessments. These include checking the baseline weight, assessing the vascular access for patency and signs of infection, and measuring the blood pressure (pre-dialysis). During the treatment, monitoring is essential to watch for any changes in blood pressure, signs of discomfort, and making sure the equipment is functioning properly. After the treatment, it is important to check the postdialysis blood pressure to ensure the patient is stable and to record any weight changes that reflect fluid removal. Additionally, the condition of the vascular access site should be monitored for any signs of complications.