DaVita In-Center Hemodialysis (ICHD) Nurse/PCT Practice Test

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What should a nurse do if a patient experiences fever during dialysis treatment?

Wait until treatment is complete to address the fever

Assess the patient for signs of infection and notify the physician

When a patient experiences a fever during dialysis treatment, it is crucial for the nurse to assess the patient for signs of infection and notify the physician. The presence of a fever could indicate an underlying infection, particularly in patients undergoing dialysis, who are at an increased risk due to their compromised immune systems.

This proactive approach allows the healthcare team to evaluate the patient’s condition thoroughly, which may involve checking vital signs, reviewing laboratory results, and possibly altering the treatment if necessary. Early detection and intervention can significantly affect the patient’s outcome and treatment plan. By notifying the physician, appropriate diagnostic tests or changes in management can be ordered promptly, ensuring patient safety and effective care.

While other actions may seem appropriate, such as reducing temperature with cool towels or waiting until treatment is complete, they do not address the underlying concern of possible infection. Ignoring the fever is also not an option, as it disregards a pivotal sign that could lead to serious complications if not evaluated appropriately.

Reduce the temperature using cool towels

Ignore the fever if the patient feels fine

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