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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Incorrect. Collecting a sample of the effluent for culture and sensitivity testing may be necessary, but notifying the healthcare provider about the finding should be done first.

B. Incorrect. Stopping the exchange immediately may be necessary in some cases, but the nurse should first communicate the finding to the healthcare provider for further assessment and guidance.

C. Correct. Cloudy dialysate effluent may indicate peritonitis, an infection of the peritoneal cavity, which requires immediate attention and treatment by the healthcare provider.

D. Incorrect. Encouraging the client to perform another exchange without further assessment can potentially exacerbate any underlying issue causing the cloudy effluent.

A. "Peritoneal dialysis uses a machine to filter blood outside of your body." B. "Peritoneal dialysis involves the removal of the peritoneal membrane to filter waste." C. "Peritoneal dialysis uses the peritoneal membrane in your abdomen to filter waste." D. "Peritoneal dialysis requires a catheter to be inserted into your bladder to remove toxins."

Correct Answer is C

Explanation

A) This statement is incorrect. Peritoneal dialysis does not use a machine to filter blood outside of the body; that description is characteristic of hemodialysis.

B) This statement is incorrect. Peritoneal dialysis does not involve the removal of the peritoneal membrane; instead, it uses the peritoneal membrane in the abdomen to filter waste.

C) This statement is accurate. Peritoneal dialysis uses the peritoneal membrane in the abdomen as a semipermeable membrane to filter waste products and excess fluids from the blood.

D) This statement is incorrect. Peritoneal dialysis does not require a catheter to be inserted into the bladder. Instead, it uses a catheter to infuse and drain dialysate into and out of the peritoneal cavity.

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A client on peritoneal dialysis is experiencing constipation. Which of the following interventions should the nurse implement to manage this condition?

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Naxlex Comprehensive Predictor Exams

A client receiving peritoneal dialysis reports cloudy dialysate effluent during an exchange. What should the nurse do first?

Correct Answer is C

Explanation

A nurse is providing education to a client who will be starting peritoneal dialysis. The client asks, "How does peritoneal dialysis work?" Which of the following responses by the nurse is accurate?

Correct Answer is C

Explanation

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