A client is scheduled to receive peritoneal dialysis. Which of the following is the highest priority action that the nurse should perform before starting dialysis?
Weigh the client
Place the client in high Fowler’s position
Administer pain medications
Place the client in Trendelenburg position
The Correct Answer is A
Choice A reason: Weighing assesses fluid status pre-dialysis, guiding ultrafiltration goals in peritoneal dialysis to remove excess fluid safely, the priority for efficacy and safety.
Choice B reason: High Fowler’s aids breathing but isn’t critical pre-dialysis; semi-Fowler’s is used during, not before, making this secondary to weight assessment.
Choice C reason: Pain medication eases discomfort during dialysis but isn’t the priority; weight determines fluid removal needs first, ensuring treatment accuracy.
Choice D reason: Trendelenburg position aids hypotension, not routine pre-dialysis preparation, irrelevant to starting peritoneal dialysis compared to weight’s foundational role.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Mucolytics (e.g., acetylcysteine) break disulfide bonds in mucus, thinning it to ease expectoration, directly aiding secretion clearance in respiratory conditions.
Choice B reason: Glucocorticoids reduce inflammation in airways, not liquefying mucus; they address swelling, not viscosity, so they don’t facilitate expulsion directly.
Choice C reason: Calcium channel blockers relax vascular smooth muscle for hypertension, not affecting mucus consistency or respiratory secretions, irrelevant to this goal.
Choice D reason: Bronchodilators open airways, improving airflow, but don’t alter mucus viscosity, aiding breathing, not secretion liquefaction or removal specifically.
Correct Answer is D
Explanation
Choice A reason: Soft foods like applesauce aid swallowing in Parkinson’s dysphagia, reducing aspiration risk from rigidity, a correct self-management strategy.
Choice B reason: Prune juice relieves constipation, common in Parkinson’s from slowed gut motility due to dopamine loss, so this is an accurate statement.
Choice C reason: Carbidopa-levodopa boosts dopamine, easing Parkinson’s motor symptoms (tremors, rigidity), a standard treatment, making this statement correct.
Choice D reason: Parkinson’s stems from dopamine deficiency, not acetylcholine; excess acetylcholine worsens symptoms, so this is incorrect and needs teaching.
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