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In this scenario, you are a nurse and your client has just received hemodialysis. You want to ensure that they have the best experience possible. The first step is to assess their condition so you know what needs to be done when preparing for the exam.

1) Assess whether or not they need oxygen support- If they do not need oxygen support, we can move on to checking other vital signs like heart rate (HR).

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2) Check blood pressure (BP)- A compromised ventilation system does not always mean low oxygen levels! As such, it is important that BP be taken before administering any treatments. Check blood pressure (BP)- A compromised ventilation system does not always mean low oxygen levels!

As such, it is important that BP be taken before administering any treatments. Discuss pulse rate (PR) and heart rate variability (HRV)- After taking a person’s blood pressure, you want to check their PR and HRV. If they have been receiving hemodialysis without interruption for an extended period of time, then one might expect elevated HR from the stress response or tachycardia due to high potassium levels in the body.

On the contrary, if they are experiencing intermittent dialysis because of equipment failure or other issues related to access availability could lead to decreased HR as well as lower PRs.

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