Dialysis Technician Practice Exam

What is a primary concern when managing patients on dialysis related to fluid intake?

1. Fluid Overload

2. Dehydration

3. Electrolyte Imbalance

4. Circulatory Shock

The correct answer is: Fluid Overload

The primary concern when managing patients on dialysis related to fluid intake is fluid overload. Patients on dialysis often have reduced kidney function, which impairs their ability to excrete excess fluid. When these patients take in too much fluid, it can result in an overload situation, where the body cannot manage the extra volume, leading to symptoms such as hypertension, edema, and potentially heart failure. Fluid overload can also complicate dialysis sessions, as the dialysis machine must work harder to remove the excess fluid during treatment. This condition demands careful monitoring of both fluid intake and total body fluid levels to avoid serious complications that could arise from an accumulation of fluid in the body. Proper counseling and guidelines on fluid restrictions are essential parts of the care for patients on dialysis. Dehydration, while a concern in other contexts, is generally less of an issue for dialysis patients since they can receive fluids through the dialysis process. Electrolyte imbalances can occur in dialysis patients but are more directly related to issues with dialysis solutions and treatment frequency rather than solely to fluid intake. Circulatory shock is an acute medical condition that, while relevant, is more directly tied to severe blood loss or sudden heart failure rather than chronic management issues associated with fluid intake in dialysis patients.