A nurse is assisting with the care of a client who is receiving peritoneal dialysis.Which of the following actions should the nurse take?

Weigh the client before and after the treatment.

Use clean gloves when handling dialysate bags.

Chill the dialysate prior to infusion.

Monitor the client for diarrhea.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Weighing the client before and after peritoneal dialysis helps assess fluid balance and ensure that the correct amount of fluid is removed during treatment. Monitoring weight changes is critical for evaluating the effectiveness of the dialysis.

Choice B rationale

Clean gloves are not sufficient for handling dialysate bags; sterile technique is required to prevent infection. Peritoneal dialysis involves a sterile procedure to reduce the risk of peritonitis.

Choice C rationale

The dialysate should be warmed to body temperature before infusion to prevent discomfort and vasoconstriction. Chilling the dialysate can cause abdominal cramping and reduce the effectiveness of the treatment.

Choice D rationale

Monitoring for diarrhea is not a standard part of peritoneal dialysis care. Peritonitis, not diarrhea, is a common complication of peritoneal dialysis, so monitoring for signs of infection is crucial.

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Correct Answer is A

Explanation

Choice A rationale

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastrointestinal irritation and bleeding, potentially leading to a false-positive result in a fecal occult blood test.

Choice B rationale

Citrus juice consumption is not known to interfere with fecal occult blood tests. It does not cause gastrointestinal bleeding or irritation.

Choice C rationale

A history of breast cancer does not affect the accuracy of a fecal occult blood test. It is unrelated to gastrointestinal bleeding or irritation.

Choice D rationale

A hemorrhoidectomy performed a year ago is unlikely to cause a false-positive result in a fecal occult blood test. The procedure would not lead to current gastrointestinal bleeding or irritation.

A. Hct. B. BUN. C. LDL. D. INR.

Correct Answer is D

Explanation

Choice A rationale

Hematocrit (Hct) levels are not directly influenced by warfarin therapy and are not necessary to monitor prior to administering the medication.

Choice B rationale

Blood Urea Nitrogen (BUN) levels measure kidney function and are not directly affected by warfarin therapy.

Choice C rationale

Low-Density Lipoprotein (LDL) levels measure cholesterol and are not affected by warfarin therapy.

Choice D rationale

International Normalized Ratio (INR) is the correct laboratory value to monitor prior to administering warfarin. It measures the effectiveness of anticoagulation therapy and helps to ensure the dosage is appropriate.

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A nurse is assisting with the care of a client who is receiving peritoneal dialysis.Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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