QOD 091: Adult hemodialysis (Physiological adaptation)

A nurse is taking care of a client who has just returned from a session of hemodialysis. The physician has ordered a percutaneous nephrolithotomy for the client and the nurse does not schedule the procedure until 8 hours later. What is the rationale for this?

• The client is in too much pain after having dialysis
• The client is at risk of bleeding because of heparin administered with dialysis
• The client most likely has an infection that needs treatment first
• The client should receive fluids for several hours after hemodialysis