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    HESI RN EXIT 1 PROCTORED EXAM

    A client is receiving continuous ambulatory peritoneal dialysis since the arterioveno (AV) graft in the right arm is no longer available to use for hemodialysis. The client has lost weight, has increasing peripheral edema, and has a serum albumin level of 1.5 g/dL (15 git). Which intervention is the priority for the nurse to implement? Reference Range Serum Albumin (Reference Range: 3.5 to 5.5 g/dL (35 to 55 g/L)

    Explanation & Rationale

    A. Support stockings may help with peripheral edema, but they do not address the underlying issue of hypoalbuminemia and its consequences. B. Adequate protein intake is crucial for increasing serum albumin levels, which can help reduce edema and improve the client's nutritional status. This intervention addresses the root cause of the client's symptoms. C. Evaluating the patency of the AV graft is important for long-term planning of hemodialysis access, but it is not the immediate priority given the client's current nutritional status and symptoms. D. Fluid restriction is important in managing peritoneal dialysis patients, but it does not address the immediate concern of hypoalbuminemia and its effects on the client's health.

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