A client with ESRD is considering peritoneal dialysis as a renal replacement therapy. The client asks the nurse about the advantages of peritoneal dialysis. Which response by the nurse is accurate?
"Peritoneal dialysis requires frequent visits to a dialysis center."
"Peritoneal dialysis provides greater flexibility in scheduling and can be done at home."
"Peritoneal dialysis involves the insertion of a catheter into your bladder."
"Peritoneal dialysis carries a higher risk of infection compared to hemodialysis."
The Correct Answer is B
A. This is incorrect. Peritoneal dialysis is typically performed at home, providing more flexibility and convenience for clients compared to hemodialysis, which requires regular visits to a dialysis center.
B. This is correct. Peritoneal dialysis is performed at home, which allows clients to have more control over their treatment schedule. It can be done during the day or overnight, providing greater flexibility for clients to continue with their daily activities.
C. This is incorrect. Peritoneal dialysis involves the insertion of a catheter into the peritoneal cavity, not the bladder. The catheter allows the dialysis solution to be infused and drained from the peritoneal cavity.
D. This is incorrect. While peritoneal dialysis does carry some risk of infection, it is generally considered to have a lower risk of infection compared to hemodialysis, where blood is exposed to an external machine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This statement is correct. Living donors undergo a comprehensive physical and psychological evaluation to ensure they are in good health and at minimal risk for complications after the surgery.
B. This statement is incorrect. While genetic matching can be considered in some cases, it is not the primary factor in the evaluation process for living donors.
C. This statement is incorrect. Living donors can be unrelated individuals, such as friends or even altruistic donors, as long as they meet the necessary health criteria.
D. This statement is incorrect. Blood type compatibility is essential for a successful transplant, but it is not the only consideration in the evaluation process for living donors.
Correct Answer is A
Explanation
A. This is correct. ESRD often leads to hypertension and increased cardiovascular risk due to fluid retention, electrolyte imbalances, and activation of the renin-angiotensin-aldosterone system.
B. This is incorrect. Clients with ESRD are at increased risk for bone fractures and calcium imbalances due to impaired calcium and phosphorus metabolism, leading to bone demineralization and increased fracture risk.
C. This is incorrect. ESRD is not associated with improved vision or eye health; in fact, clients with ESRD may experience eye complications, such as retinopathy, due to the effects of diabetes and hypertension on the retina.
D. This is incorrect. ESRD can affect the gastrointestinal system, leading to complications such as nausea, vomiting, and gastrointestinal bleeding due to the accumulation of waste products and electrolyte imbalances.
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