A client undergoing peritoneal dialysis asks the nurse about preventing infection at the catheter insertion site. What should the nurse recommend?

"Avoid using sterile technique when handling the catheter."

"Clean the catheter insertion site daily with alcohol wipes."

"Change the dressing over the catheter daily using clean gloves."

"Immerse the catheter in water while bathing or showering."

Answer and Explanation

The Correct Answer is C

A. Incorrect. Using sterile technique when handling the catheter is essential to prevent infection. Clients and caregivers should be taught the proper aseptic technique for catheter care.

B. Incorrect. Alcohol wipes can dry out the skin and are not recommended for cleaning the catheter insertion site. A more appropriate solution is provided in the correct answer.

C. Correct. Changing the dressing over the catheter daily using clean gloves helps maintain a clean and dry site, reducing the risk of infection during peritoneal dialysis.

D. Incorrect. The catheter should not be immersed in water during bathing or showering, as this can introduce pathogens and increase the risk of infection.

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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.

A. Instruct the client to increase fluid intake. B. Assist the client with a peritoneal fluid exchange. C. Administer an over-the-counter pain reliever. D. Obtain a peritoneal fluid sample for testing.

Correct Answer is D

Explanation

A. Incorrect. Instructing the client to increase fluid intake may not address the underlying cause of abdominal pain and fever in a client on peritoneal dialysis.

B. Incorrect. Assisting the client with a peritoneal fluid exchange is not the priority when the client is experiencing abdominal pain and fever, as it may exacerbate the symptoms.

C. Incorrect. Administering an over-the-counter pain reliever may provide temporary relief, but it does not address the underlying cause of the symptoms.

D. Correct. Abdominal pain and fever in a client on peritoneal dialysis may indicate peritonitis, an infection of the peritoneal cavity. Obtaining a peritoneal fluid sample for testing is essential to confirm the diagnosis and initiate appropriate treatment promptly.

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A client undergoing peritoneal dialysis asks the nurse about preventing infection at the catheter insertion site. What should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who develops muscle cramps during hemodialysis. Which intervention should the nurse implement first?

Correct Answer is C

Explanation

A client on peritoneal dialysis reports experiencing abdominal pain and fever. What should the nurse do first?

Correct Answer is D

Explanation

A client with end-stage renal disease is starting dialysis. What information should the nurse include in the client's education about fluid intake?

A client on peritoneal dialysis has a prescription for hypertonic dialysate. Which of the following findings should the nurse expect during the infusion of hypertonic dialysate?

A client on peritoneal dialysis is prescribed erythropoietin-stimulating agents (ESAs) to manage anemia. Which of the following laboratory values should the nurse monitor closely during ESA therapy?

A nurse is caring for a client undergoing hemodialysis. Which intervention is essential to prevent dialysis-related hypotension?

A client on hemodialysis presents with a severe headache, confusion, and seizures. What action should the nurse take first?

A client with end-stage renal disease (ESRD) is receiving heparin during hemodialysis to prevent clotting in the dialyzer. Which of the following laboratory values should the nurse monitor closely while the client is receiving heparin?

A nurse is caring for a client who is on continuous ambulatory peritoneal dialysis (CAPD. . What should the nurse include in the client's education regarding self-care during exchanges?

A nurse is educating a client about the different types of dialysis. The client asks which type of dialysis uses the peritoneal membrane as a filter. Which of the following responses by the nurse is accurate?