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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This statement is incorrect. Erythropoietin-stimulating agents (ESAs) are not used to prevent infections during dialysis. They are used to address anemia by stimulating red blood cell production.
B) This statement is accurate. Erythropoietin-stimulating agents (ESAs) stimulate the bone marrow to produce more red blood cells, addressing anemia commonly associated with chronic kidney disease and dialysis.
C) This statement is incorrect. Erythropoietin-stimulating agents (ESAs) do not reduce the risk of blood clot formation. They are specific to stimulating the production of red blood cells.
D) This statement is incorrect. Erythropoietin-stimulating agents (ESAs) do not enhance kidney function and filtration. They target the production of red blood cells to address anemia associated with ESRD and dialysis.
Correct Answer is B
Explanation
A. Protein intake is generally encouraged for clients on hemodialysis to prevent malnutrition and replace losses during dialysis.
B. Sodium should be limited because excess intake can lead to fluid retention, hypertension, and increased workload on the heart.
C. Calcium intake is typically monitored but not universally restricted unless prescribed; limiting calcium is not a primary dietary recommendation.
D. Iron is often supplemented to prevent anemia associated with chronic kidney disease and dialysis.
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