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The patient diagnosed with chronic kidney disease is scheduled for haemodialysis. When should the nurse plan to administer the patient’s daily dose of
Question

The patient diagnosed with chronic kidney disease is scheduled for haemodialysis. When should the nurse plan to administer the patient’s daily dose of enalapril to ensure its effectiveness?

A.

During dialysis

B.

Just before dialysis

C.

The day after dialysis

D.

Upon return from dialysis

Correct option is D

Enalapril, an antihypertensive, can be removed from the bloodstream during dialysis. Therefore, to maintain its effectiveness, it should be given after dialysis, not before or during, ensuring the patient gets the full benefit. Explanation of options:
· (a) ✘ The drug may be filtered out during dialysis.
· (b) ✘ The medication can be dialyzed before it acts.
· (c) ✘ Delay of a day may compromise BP control.
· (d) ✔ Correct; ensures the drug is not removed and remains effective.

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