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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Hand hygiene is critical for preventing the spread of MRSA. Washing hands removes any bacteria that may have been picked up during contact with the infected client or surfaces in the room. Proper handwashing technique includes using soap and water or an alcohol-based hand sanitizer for at least 20 seconds.
Choice B rationale
Reusing unsoiled gloves is not recommended because MRSA can persist on surfaces and gloves for prolonged periods. Changing gloves each time entering the room ensures any contamination is not transferred to different areas or patients.
Choice C rationale
Wearing a gown protects the caregiver’s clothing from contamination when assisting with activities like bathing. Gowns act as a barrier to prevent MRSA from contacting the caregiver's skin or clothes and being carried outside the patient’s room.
Choice D rationale
Taking the client outside the room increases the risk of spreading MRSA to others. While a mask may protect against respiratory droplets, it does not prevent the transmission of MRSA via contact with contaminated surfaces or the patient’s skin.
Correct Answer is A
Explanation
Choice A rationale
Increased respiratory rate is a compensatory mechanism in metabolic acidosis to expel excess carbon dioxide and decrease blood acidity.
Choice B rationale
Positive Trousseau's sign indicates hypocalcemia, not metabolic acidosis. It is seen in patients with low calcium levels.
Choice C rationale
Tingling of the fingers is usually associated with electrolyte imbalances such as hypocalcemia, rather than metabolic acidosis.
Choice D rationale
Dizziness upon standing is typically a sign of orthostatic hypotension, not directly related to metabolic acidosis.
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