A client with ESRD is receiving peritoneal dialysis. The nurse should closely monitor the client for which potential complication associated with this type of dialysis?
Hypertension and high blood pressure
Increased risk of blood clots and clotting disorders
Peritonitis and infection at the catheter insertion site
Electrolyte imbalances and fluid overload
The Correct Answer is C
A. This is incorrect. Peritoneal dialysis typically helps manage fluid and blood pressure imbalances in clients with ESRD.
B. This is incorrect. While blood clots and clotting disorders can be potential complications of ESRD, they are not specifically associated with peritoneal dialysis.
C. This is correct. Peritonitis is a severe and potentially life-threatening complication of peritoneal dialysis. It occurs when the peritoneal cavity, used for dialysis, becomes infected, leading to inflammation and infection at the catheter insertion site.
D. This is incorrect. Electrolyte imbalances and fluid overload can occur with both peritoneal dialysis and hemodialysis. However, peritonitis is a specific complication unique to peritoneal dialysis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is correct. Polycystic kidney disease (PKD. is a genetic disorder, and individuals with a family history of PKD have a higher risk of developing the condition. It can be inherited from one or both parents, and the mutated gene responsible for PKD affects the development of fluid-filled cysts in the kidneys.
B. This is incorrect. While exposure to certain environmental toxins can contribute to kidney damage, it is not the cause of PKD.
C. This is incorrect. PKD is not an autoimmune disorder; it is a genetic disorder characterized by the growth of cysts in the kidneys.
D. This is incorrect. PKD is not caused by chronic kidney infections; it is a genetic condition that results in the formation of cysts within the kidney tissue.
Correct Answer is D
Explanation
A. This is incorrect. While kidney transplantation does require the use of immunosuppressant medications to prevent organ rejection, it eliminates the need for dialysis and provides a better chance of long-term survival compared to dialysis alone.
B. This is incorrect. While there is a risk of infection after kidney transplantation, the overall risk of infection is generally higher in clients on long-term dialysis.
C. This is incorrect. Kidney transplantation is associated with improved quality of life compared to dialysis. Transplant recipients often experience increased energy, better dietary freedom, and a decreased reliance on medical appointments compared to dialysis patients.
D. This is correct. Kidney transplantation offers the best chance for long-term survival and eliminates the need for ongoing dialysis. It provides improved quality of life and potential freedom from dietary restrictions, fluid restrictions, and the time-consuming dialysis procedure.
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