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 B

Explanation

A. This is incorrect. Herbal supplements are not always safe, and some can have adverse effects on kidney function, especially if used in excessive amounts or in combination with certain medications.

B. This is correct. Regular use of herbal supplements can potentially interact with medications, including those prescribed for kidney disease, and worsen kidney function. Some herbal supplements may have diuretic properties or may be metabolized by the kidneys, leading to potential complications for individuals with ESRD.

C. This is incorrect. Herbal supplements are not regulated by the U.S. Food and Drug Administration (FDA. , and their safety and efficacy may vary. Some herbal supplements have been associated with adverse effects on kidney health and may not be as benign as the client assumes.

D. This is incorrect. Herbal supplements should not be considered as replacements for prescribed medications in managing ESRD. The client should always consult with their healthcare provider before starting or continuing the use of herbal supplements to ensure they are safe and appropriate for their medical condition.

Questions

A. "Family history of diabetes is a risk factor for ESRD." B. "Being physically active and maintaining a healthy lifestyle can increase the risk of ESRD." C. "Having a history of frequent kidney stones decreases the risk of ESRD." D. "High blood pressure has no association with the development of ESRD."

Correct Answer is A

Explanation

A. This is correct. Family history of diabetes is a significant risk factor for the development of ESRD. Diabetes is one of the leading causes of ESRD, and individuals with a family history of diabetes are at increased risk of kidney complications.

B. This is incorrect because being physically active and maintaining a healthy lifestyle do not increase the risk of ESRD. In fact, a healthy lifestyle can help reduce the risk of developing kidney disease.

C. This is incorrect because having a history of frequent kidney stones is not associated with a decreased risk of ESRD. In some cases, recurrent kidney stones may lead to chronic kidney disease, which can progress to ESRD.

D. This is incorrect because high blood pressure (hypertension) is a significant risk factor for the development and progression of ESRD. Uncontrolled hypertension can lead to damage to the blood vessels in the kidneys, contributing to kidney disease.

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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?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is discussing the risk factors for ESRD with a client. Which client statement indicates a correct understanding of the risk factors for ESRD?

Correct Answer is A

Explanation

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A client with a history of chronic kidney disease asks the nurse about the factors that can worsen kidney function. Which response by the nurse is accurate?

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A nurse is providing education to a client with ESRD about stress management techniques. Which intervention should the nurse recommend to help the client cope with stress effectively?

A nurse is caring for a client with ESRD and notices that the client is experiencing fatigue and weakness. Which assessment finding should the nurse prioritize for this client?