A client with chronic kidney disease (CKD. asks the nurse about the risk factors that may accelerate the progression of kidney disease. Which response by the nurse is accurate?

A. This response is not helpful. Telling the client that their feelings are unwarranted may invalidate their emotions and not address their concerns.

B. This response is appropriate. Validating the client's feelings while reassuring them of their family's support can help the client feel understood and less burdened by their emotions.

C. This response is not appropriate. Encouraging the client to hide their feelings from their family can lead to emotional suppression and may hinder open communication.

D. This response is not appropriate. Encouraging the client to rely more on friends than family for support may not be practical or address the client's feelings of guilt and burden.

A. This is correct. Peritoneal dialysis involves the insertion of a catheter into the peritoneal cavity, and there is a risk of bleeding at the insertion site. The nurse should closely monitor for any signs of hemorrhage or infection at the catheter site.

B. This is incorrect. Hypoglycemia and blood glucose fluctuations are not common complications of peritoneal dialysis. However, clients with diabetes may need adjustments in their diabetes management during peritoneal dialysis.

C. This is incorrect. Electrolyte imbalances and fluid overload are potential complications of both hemodialysis and peritoneal dialysis. While electrolyte imbalances can occur with peritoneal dialysis, hemorrhage at the catheter insertion site is a more specific concern for this type of dialysis.

D. This is incorrect. Impaired respiratory function and lung collapse are not typical complications of peritoneal dialysis. These are more commonly associated with other respiratory conditions and not directly related to peritoneal dialysis.

Questions