What should be monitored closely in a patient experiencing hypertension during dialysis?

Monitoring cardiac rhythm and vital signs is critical in a patient experiencing hypertension during dialysis due to the potential for cardiovascular complications. Increased blood pressure can lead to strain on the heart, and monitoring vital signs helps to detect changes in the patient’s condition promptly.

Heart rhythm should also be assessed because hypertension can be associated with cardiac arrhythmias, which may compromise the patient's stability. Close monitoring can help in managing any further risks, such as myocardial ischemia or heart failure, which are particularly concerning for patients undergoing hemodialysis.

In contrast, while monitoring fluid intake is important for overall fluid management, it doesn't address the immediate concerns associated with hypertension itself. Skin temperature and respiratory effort are less directly related to hypertension during dialysis and may not provide critical information for immediate management in the context of a hypertensive crisis. Thus, focusing on vital signs and cardiac rhythm allows for a more comprehensive approach to swiftly address and mitigate the risks associated with elevated blood pressure in dialysis patients.