A client with ESRD is undergoing continuous ambulatory peritoneal dialysis (CAPD. . The nurse should educate the client about which essential aspect of CAPD to minimize the risk of complications?

Regularly inspecting the skin and exit site for signs of infection

Limiting daily fluid intake to reduce the workload on the peritoneal membrane

Administering subcutaneous heparin to prevent clotting within the peritoneal catheter

Disconnecting the catheter from the drainage bag during sleep to prevent discomfort

Answer and Explanation

The Correct Answer is A

A. This is correct. In CAPD, the peritoneal cavity is used as a dialysate exchange site, and an indwelling catheter remains in place. Regularly inspecting the skin and exit site for signs of infection is essential to minimize the risk of peritonitis and other complications.

B. This is not the most appropriate aspect to focus on in CAPD. Daily fluid intake is not limited in CAPD; instead, the fluid exchange process occurs multiple times throughout the day to remove waste and excess fluids from the body.

C. This is incorrect. Subcutaneous heparin is not typically used in CAPD, as it is a form of anticoagulation therapy and not a standard component of peritoneal dialysis treatment.

D. This is incorrect. The catheter should remain connected to the drainage bag at all times, even during sleep. Disconnecting the catheter can disrupt the dialysate exchange process and increase the risk of infection and other complications.

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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.

Questions

A. Instruct the client to avoid adhering strictly to the dialysis schedule to prevent burnout. B. Encourage the client to skip dialysis sessions if they feel too fatigued. C. Teach the client how to recognize and report signs of infection or complications. D. Advise the client to avoid monitoring their fluid and dietary intake.

Correct Answer is C

Explanation

A. Instructing the client to avoid adhering strictly to the dialysis schedule can be detrimental to their health and may lead to complications associated with missed treatments.

B. Encouraging the client to skip dialysis sessions is not appropriate as it can worsen their condition and lead to serious health consequences.

C. This is the correct answer. Recognizing and reporting signs of infection or complications is crucial for clients on dialysis. Early detection and management of potential issues can help prevent further complications and ensure the client's well-being.

D. Advising the client to avoid monitoring their fluid and dietary intake can lead to fluid overload and worsen their ESRD condition.

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A client with ESRD is undergoing continuous ambulatory peritoneal dialysis (CAPD. . The nurse should educate the client about which essential aspect of CAPD to minimize the risk of complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with ESRD is being evaluated for kidney transplantation. The client asks the nurse about the benefits of kidney transplantation compared to dialysis. Which response by the nurse is accurate?

Correct Answer is D

Explanation

A nurse is providing discharge education to a client with ESRD who will require ongoing dialysis treatments. The client expresses concern about how they will manage their condition at home. What should the nurse include in the discharge teaching to promote effective self-care?

Correct Answer is C

Explanation

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A client with ESRD asks the nurse about treatment options. Which statement by the nurse is accurate?

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A nurse is assessing a client with ESRD and asks about their history of medications. The client mentions using non-prescription herbal supplements regularly. Which response by the nurse is accurate?