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    Ati Nurs 223 W26 Med Surg Proctored Exam 2
    Select All That Apply

    The nurse is evaluating a client's response to hemodialysis. Which lab results should the nurse anticipate? Select all that apply.

    Explanation & Rationale

    Rationale: A. This is not expected immediately after hemodialysis. Hemodialysis removes fluid, which may slightly concentrate hemoglobin, but the primary effect on hemoglobin is not immediate. Chronic anemia is common in ESRD, and hemoglobin is generally managed with erythropoietin and iron therapy, not dialysis. B. WBC count does not typically change due to hemodialysis. An increase would suggest infection or inflammation, not a normal response to dialysis. C. Hemodialysis removes nitrogenous waste products from the blood, including urea. A decrease in BUN after the session indicates effective removal of toxins and proper dialysis function. D. Dialysis removes excess potassium from the blood, which is crucial for preventing hyperkalemia, a common and dangerous complication in ESRD. Lowered serum potassium is an expected and desired outcome. E. Creatinine is a waste product filtered by the kidneys and accumulates in ESRD. Hemodialysis removes creatinine from the bloodstream, so a decrease after dialysis is expected and indicates effective clearance.

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