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. "I will need to empty the bag every 4 to 6 hours.”. B. "I will use moisturizing soap to clean around the stoma before applying the bag.”. C. "I will cut the wafer opening one-fourth of an inch larger than the stoma.”. D. "I will use a skin sealant before I apply the bag.”. . . .

Correct Answer is C

Explanation

Choice A rationale

Emptying the ileostomy bag every 4 to 6 hours is incorrect as the frequency depends on the individual's output, which can be higher, requiring more frequent emptying.

Choice B rationale

Using moisturizing soap to clean around the stoma is not recommended as it can interfere with the adhesion of the wafer. Mild, non-moisturizing soap should be used instead.

Choice C rationale

Cutting the wafer opening one-fourth of an inch larger than the stoma is correct as it allows for proper fitting and prevents constriction of the stoma, reducing the risk of skin irritation.

Choice D rationale

Using a skin sealant before applying the bag is recommended to protect the skin and improve the adhesion of the ostomy appliance. .

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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?

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