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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
A) This statement is incorrect. Increasing the rate of fluid removal during dialysis may worsen the client's symptoms of lightheadedness and dizziness, as it can lead to further drops in blood pressure.
B) This statement is incorrect. Administering an antihypertensive medication is not appropriate in this situation, as the client is experiencing symptoms of low blood pressure, not high blood pressure.
C) This statement is accurate. Feeling lightheaded and dizzy during hemodialysis may be a sign of hypotension (low blood pressure), and the nurse should assess the client's blood pressure and pulse rate to determine if intervention is needed.
D) This statement is incorrect. Elevating the client's legs may promote blood flow, but it does not address the immediate issue of lightheadedness and dizziness. Assessing the client's blood pressure and pulse rate is the priority to determine the appropriate intervention.
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