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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. This is not directly related to the client's successful home-based peritoneal dialysis. While companionship is essential for many clients, it is not a critical factor for dialysis treatment.

B. This is not the most appropriate factor to assess for home-based peritoneal dialysis. Availability of transportation is crucial for clients who may need to travel for hemodialysis sessions, not for clients undergoing peritoneal dialysis at home.

C. This is correct. Access to a reliable electricity source is crucial for home-based peritoneal dialysis since the peritoneal dialysis machine requires electricity to function properly. The machine helps with the exchange of dialysate, which is necessary for effective treatment.

D. This is not directly related to home-based peritoneal dialysis. While proximity to a local hospital or medical facility is always important for any client, it is not a primary factor for choosing home-based peritoneal dialysis as a treatment option.

Questions

A. "Hemodialysis helps remove toxins and excess fluid from your bloodstream, functioning as artificial kidneys." B. "Hemodialysis helps regulate your blood pressure and heart rate to improve kidney function." C. "Hemodialysis stimulates your kidneys to produce more urine and improve their filtration capacity." D. "Hemodialysis is a surgical procedure to replace your damaged kidneys with healthy donor kidneys."

Correct Answer is A

Explanation

A. This is correct. Hemodialysis is a renal replacement therapy that uses a dialysis machine to remove waste products, toxins, and excess fluid from the bloodstream when the kidneys are no longer able to do so effectively.

B. This is incorrect. While hemodialysis may have some effect on blood pressure, its primary purpose is to replace kidney function in filtering waste products

and maintaining fluid balance.

C. This is incorrect. Hemodialysis does not stimulate the kidneys to produce more urine. It directly filters the blood to remove toxins and fluid.

D. This is incorrect. Hemodialysis does not involve surgical replacement of damaged kidneys. It is a non-surgical procedure performed in a dialysis center using a dialysis machine.

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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?

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Naxlex Comprehensive Predictor Exams

A client with ESRD is considering home-based peritoneal dialysis. The nurse should assess the client's home environment for which essential factor to ensure successful treatment?

Correct Answer is C

Explanation

A client with ESRD is receiving hemodialysis. The client asks the nurse about the purpose of this treatment. Which response by the nurse is accurate?

Correct Answer is A

Explanation

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