A client with ESRD is considering dialysis as a treatment option. The client asks the nurse about the different types of dialysis. Which response by the nurse is accurate?

"The two main types of dialysis are peritoneal dialysis and intermittent hemodialysis."

"Dialysis can only be performed in a hospital setting using machines and filters."

"There is only one type of dialysis, which involves removing excess fluids through a catheter."

"Dialysis is not recommended for ESRD; other treatment options should be explored."

Answer and Explanation

The Correct Answer is A

A. This statement is correct. The two main types of dialysis are peritoneal dialysis and intermittent hemodialysis. Peritoneal dialysis uses the peritoneal cavity as a natural filter, and intermittent hemodialysis is performed using a machine to filter the blood.

B. This statement is incorrect. Dialysis can be performed both in a hospital setting and at home, depending on the type of dialysis chosen by the client and their healthcare provider.

C. This statement is incorrect. There are two main types of dialysis, as mentioned in option A, not just one.

D. This statement is incorrect. Dialysis is a common and effective treatment option for ESRD when kidney function has significantly declined. It can improve the quality of life and extend survival for many clients with ESRD.

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Correct Answer is C

Explanation

A. This is incorrect. Administering a bolus of IV fluid may worsen fluid overload and electrolyte imbalances in the client with ESRD. It is not an appropriate intervention for muscle cramps and twitching.

B. This is incorrect. Vigorous physical exercise may exacerbate muscle cramps and twitching in clients with ESRD. Encouraging moderate physical activity is more appropriate.

C. This is correct. Muscle cramps and twitching in clients with ESRD are often associated with elevated phosphate levels in the blood. Phosphate-binding medications can help reduce phosphate levels and alleviate these symptoms.

D. This is incorrect. While dietary protein intake may need to be adjusted for clients with ESRD, restricting protein intake to minimal levels can lead to malnutrition and other complications. It is not an appropriate intervention for muscle cramps and twitching.

A. Hemorrhage at the catheter insertion site B. Hypoglycemia and blood glucose fluctuations C. Electrolyte imbalances and fluid overload D. Impaired respiratory function and lung collapse

Correct Answer is A

Explanation

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

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A client with ESRD is considering dialysis as a treatment option. The client asks the nurse about the different types of dialysis. Which response by the nurse is accurate?

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Naxlex Comprehensive Predictor Exams

A client with ESRD reports experiencing severe muscle cramps and twitching. Which nursing intervention is appropriate to address this symptom?

Correct Answer is C

Explanation

A nurse is caring for a client with ESRD who is receiving peritoneal dialysis. The nurse should closely monitor the client for which potential complication related to this type of dialysis?

Correct Answer is A

Explanation

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