Select the correct answer:
1. A patient with end stage kidney disease (ESKD) is receiving a hemodialysis session. The nurse expects which of the following post-dialysis findings reflect the efficiency of this session?
A – Increase urine output.
B – Decrease in the patient weight
C – Improvement in hemoglobin level
D – Soothing of skin itching
Ans is second option decrease in patient weight.Weight is being monitored before and after the procedure to know the dry weight.Weight is being reduced by the removal of excess fluid from the patient's blood.
The other three options are not correct because as there is excess fluid removal from the blood urine output will be less only as it already removed excess fluid during the procedure and the patient will be on fluid restrictions also ,so urine output will be decreased.
3rd option also wrong because during the haemodialysis procedure blood is purified along with the removal of fuid,iron in and blood cells also will be removed and there by increase anaemia.
4th option is also wrong because as there is removal of excess fluid from blood ..certain minerals like phosphorus accumulates causing itchy skin.
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