Question

A nurse is caring for a client who is undergoing renal dialysis to treat end-stage kidney disease (ESKD). The client reports muscle cramps and a tingling sensation in his hands. What med should the nurse plan to administer?

Answer 1

The symptoms of muscle cramps and tingling hands in a dialysis patient are indicative of an electrolyte imbalance. A nurse under the direct supervision of a registered nurse should not administer any medication without a physician's evaluation and an understanding of the patient’s current electrolyte panel. The appropriate response involves reviewing the dialysis treatment and electrolyte levels, rather than administering medication prematurely.

Step-by-step explanation:

The symptoms described by a patient undergoing renal dialysis for end-stage kidney disease (ESKD), specifically muscle cramps and tingling sensation in the hands, suggest an imbalance in electrolytes, commonly associated with dialysis treatment. It is under direct supervision of a registered nurse to manage and respond to such situations. If a patient reported hypokalemia, an intravenous (IV) delivery of potassium chloride (KCl) might be ordered. However, in this case, hyperkalemia could be the cause of muscle cramps and tingling, as it can lead to neuromuscular irritability. Consequently, administering KCl would not be appropriate if the patient's potassium levels are elevated.

In the absence of specific electrolyte levels, it is not advised to suggest medication without proper assessment. A physician should evaluate the patient's electrolyte panel to diagnose the underlying issue. Treatment may also include adjusting the dialysis treatment itself to correct electrolyte imbalances.