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

"You should limit your fluid intake to prevent dehydration."

"Consume plenty of fluids to compensate for dialysis fluid removal."

"Increase your salt intake to help retain fluids."

"Limit your fluid intake only on the day of dialysis treatment."

Answer and Explanation

The Correct Answer is B

A. Incorrect. Limiting fluid intake is important for some clients with renal issues, but clients on dialysis typically need to maintain adequate hydration due to fluid removal during the procedure.

B. Correct. Clients on dialysis often need to consume plenty of fluids to compensate for the fluid removal that occurs during dialysis treatment, preventing dehydration and maintaining hemodynamic stability.

C. Incorrect. Increasing salt intake is not recommended for clients on dialysis, as it can contribute to fluid retention and worsen hypertension.

D. Incorrect. Limiting fluid intake only on the day of dialysis treatment is not sufficient to maintain overall hydration and may lead to imbalances and complications between dialysis sessions.

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Correct Answer is D

Explanation

A) This statement is incorrect. Infection is not a rare complication of peritoneal dialysis. It is a common risk that requires proactive measures to prevent.

B) This statement is incorrect. While infections can occur and may be treatable with antibiotics, it is essential to focus on prevention and maintaining aseptic technique.

C) This statement is incorrect. Taking antibiotics regularly to prevent infection is not the standard practice for clients on peritoneal dialysis. Antibiotics are typically prescribed to treat infections when they occur, not as a preventive measure.

D) This statement is accurate. Infection is a significant risk for clients on peritoneal dialysis due to the direct access to the peritoneal cavity through the catheter. Strict aseptic technique is crucial to prevent infections.

A. "Avoid using sterile technique when handling the catheter." B. "Clean the catheter insertion site daily with alcohol wipes." C. "Change the dressing over the catheter daily using clean gloves." D. "Immerse the catheter in water while bathing or showering."

Correct Answer is C

Explanation

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client who will be performing peritoneal dialysis at home. The client asks about the risk of infection. Which of the following responses by the nurse is accurate?

Correct Answer is D

Explanation

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

Correct Answer is C

Explanation

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?

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

A client with end-stage renal disease (ESRD) has been experiencing persistent pruritus (itching) that is not responding to conservative management. Which of the following is the primary indication for initiating dialysis in this client?

A nurse is caring for a client on hemodialysis. The client reports feeling dizzy and weak during the procedure. Which intervention should the nurse implement first?

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 nurse is caring for a client with end-stage renal disease (ESRD) who is starting peritoneal dialysis. The client expresses concerns about the impact on their daily activities. Which of the following responses by the nurse is appropriate?

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