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. Encouraging the client to share their feelings with friends and family is essential, but connecting with individuals experiencing similar challenges in a support group can provide the client with additional understanding and emotional support.

B. This is the correct answer. Support groups provide an opportunity for clients with ESRD to share their experiences, learn coping strategies from others, and realize they are not alone in their struggles, which can alleviate feelings of isolation and provide emotional support.

C. Advising the client to limit social interactions can exacerbate feelings of isolation and loneliness, which is not helpful in providing appropriate support.

D. While it is essential to reassure the client that feeling overwhelmed is normal, attending a support group can provide them with practical strategies for coping with these emotions.

A. Encourage the client to ignore their financial situation to prevent additional stress. B. Refer the client to a financial counselor to explore financial assistance options. C. Advise the client to borrow money from friends or family to meet their expenses. D. Tell the client that financial struggles are common and unavoidable in ESRD.

Correct Answer is B

Explanation

A. Encouraging the client to ignore their financial situation does not address their distress and may hinder them from seeking appropriate financial support.

B. This is the correct answer. Referring the client to a financial counselor can help them explore financial assistance options, budgeting strategies, and potential resources to alleviate their financial difficulties.

C. Suggesting the client borrow money from friends or family may not be a practical solution, and it does not address the root cause of the client's financial distress.

D. While it may be true that financial struggles are common in ESRD, simply acknowledging this fact does not offer practical solutions or support to the client in managing their financial difficulties.

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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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