Medical Surgical Dialysis #2

Question

A client on the rehabilitation unit goes for hemodialysis for four hours. Upon return from dialysis, the nurse assesses the client’s vital signs. The temperature is 100.3°. Which statement best reflects interpretation of the temperature following dialysis?

Answers

  1. The nurse should notify the health care provider to rule out infection.
    • Rationale:

      This answer is not correct because unless the client’s temperature continues to rise, there is no reason to contact the health care provider. During dialysis, the blood is warmed slightly and the client may exhibit a slight temperature rise from their baseline.

  2. Continue to monitor since rise in temperature is normal after dialysis.
    • Rationale:

      This answer is correct because the client’s blood is warmed as a part of the dialysis process, it is expected that the temperature will be slightly increased upon return to the unit; therefore, this is the best action by the nurse.

  3. The nurse will call the laboratory for white blood cell count and differential.
    • Rationale:

      This answer is not correct because unless the client’s temperature continues to rise and other symptoms of infection are noted, there is no need for special laboratory testing at this time. During dialysis, the blood is warmed slightly and the client may exhibit a slight temperature rise from their baseline.

  4. The nurse will call the laboratory for blood cultures from three separate sites.
    • Rationale:

      This answer is not correct because unless the client’s temperature continues to rise and other symptoms of infection are noted, there is no need for blood cultures at this time. During dialysis, the blood is warmed slightly and the client may exhibit a slight temperature rise from their baseline.

Overview

Hemodialysis is a medical procedure to remove fluid and waste products from the blood and to correct electrolyte imbalances. During dialysis, the blood is warmed slightly and the client may exhibit a slight temperature rise from their baseline.

Explanation

Learning Outcomes

Hemodialysis is accomplished using a machine and a dialyzer, also referred to as an “artificial kidney.” During dialysis, the blood is warmed slightly and the client may exhibit a slight temperature rise from their baseline. The nurse should continue to monitor the temperature.

Test Taking Tip

Consider the impact that hemodialysis has on the client’s blood to answer this question correctly.

Video Rationale