A client on peritoneal dialysis is experiencing constipation. Which of the following interventions should the nurse implement to manage this condition?
Increase the intake of potassium-rich foods.
Administer a stool softener as needed.
Decrease the fluid intake during dialysis.
Encourage the client to consume dairy products.
The Correct Answer is B
A) This statement is incorrect. Increasing the intake of potassium-rich foods is not related to managing constipation. In fact, clients on peritoneal dialysis may need to restrict potassium intake due to the potential for electrolyte imbalances.
B) This statement is accurate. Constipation can be a common issue for clients on peritoneal dialysis due to the presence of glucose in the dialysate, which can draw fluid into the peritoneal cavity and lead to decreased bowel movement. Administering a stool softener as needed can help alleviate constipation.
C) This statement is incorrect. Decreasing fluid intake during dialysis is not recommended for managing constipation. Fluid intake should be maintained as prescribed to achieve adequate ultrafiltration.
D) This statement is incorrect. Encouraging the client to consume dairy products is not directly related to managing constipation. While calcium intake may be important for bone health in clients with ESRD, it is not a primary intervention for constipation.
QUESTIONS
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Related Questions
Correct Answer is C
Explanation
A. Incorrect. Protein intake is essential for maintaining body functions, but clients on dialysis may need to adjust their protein intake based on their individual needs and dialysis prescription.
B. Incorrect. Clients on dialysis may need to limit their sodium intake to manage fluid retention and blood pressure.
C. Correct. Clients on dialysis often need to avoid potassium-rich foods to prevent hyperkalemia, as the kidneys are unable to adequately remove excess potassium from the blood.
D. Incorrect. Clients on dialysis typically need to restrict their phosphorus intake to prevent complications related to high phosphorus levels, such as bone disease and cardiovascular issues.
Correct Answer is C
Explanation
A. Incorrect. Administering a calcium channel blocker is not the first-line intervention for muscle cramps during dialysis.
B. Incorrect. Slowing down the blood flow rate during dialysis may be necessary in some cases, but it is not the first action to address muscle cramps.
C. Correct. Muscle cramps during dialysis can be caused by electrolyte imbalances, such as low potassium levels. Offering the client a sports drink with electrolytes can help alleviate the cramps.
D. Incorrect. Applying a heating pad to the affected muscles is not recommended during dialysis, as it may cause burns or worsen the cramps.
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