A nurse is caring for a client on a medical unit.
Drag the words from the choices below to fill in each blank in the following sentence
Essential infection control practices in peritoneal dialysis include
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"E","dropdown-group-3":"D"}
• Monitoring vital signs is important to detect changes such as fever or hemodynamic instability, but it is not a primary infection control measure. Vital signs reflect the presence of infection rather than actively preventing contamination during peritoneal dialysis.
• Checking blood glucose levels is essential for diabetic clients, since hyperglycemia can worsen infection risk and healing capacity. However, glucose monitoring is not a direct infection control practice related to preventing peritoneal dialysis–associated peritonitis.
• Performing hand hygiene is a critical infection control step because it minimizes the transmission of microorganisms from healthcare providers or caregivers to the peritoneal catheter site. Consistent hand hygiene reduces the risk of peritoneal contamination during exchanges.
• Applying antibiotic ointment at the catheter exit site reduces the chance of bacterial colonization and local infection. Preventing exit-site infections is crucial, since they can progress to tunnel infections or peritonitis if not controlled early.
• Assessing fluid intake helps evaluate fluid balance and kidney function, but it does not contribute to infection prevention. While important for overall care in dialysis clients, it is not an essential infection control practice.
• Using sterile techniques during catheter handling and dialysate exchanges prevents the introduction of microorganisms into the peritoneal cavity. Maintaining strict sterility is the cornerstone of preventing peritonitis in peritoneal dialysis patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Your doctor will place a catheter into an artery in your groin and inject a dye to visualize the blood supply to the kidneys": This describes a renal arteriogram, which evaluates renal blood vessels, not a cystoscopy with cystogram.
B. "Your doctor will insert a lighted tube in the bladder through your urethra, inspect the bladder, and instill dye to outline your bladder on x-ray": The cystoscope allows direct visualization of the bladder, and dye instillation helps outline the bladder on imaging to identify abnormalities such as tumors, stones, or sources of bleeding.
C. "Your doctor will inject a radioactive solution into a vein in your arm, then the isotope in your kidneys and bladder will be visible on a scanner": This describes a renal nuclear scan, which evaluates kidney function and structure. It does not involve direct visualization of the bladder or instillation of dye.
D. "Your doctor will insert a lighted tube into the bladder, and little catheters will be inserted through the tube into your kidneys.": This describes a cystoscopy with retrograde pyelogram, which visualizes the ureters and renal pelvis. While it involves the bladder and catheters, it is not the same as a cystoscopy with cystogram.
Correct Answer is B
Explanation
A. Apply absorbent adult incontinence diapers and pads over the bed linens: Absorbent products may help keep the skin dry, but it does not address the patient’s continence needs or promote independence. Prolonged use also increases risk of skin breakdown and infection.
B. Assist the patient to the bathroom every 2 hours during the day: Scheduled toileting supports continence, reduces the risk of falls, and promotes dignity. It also helps prevent skin complications from incontinence and reduces the likelihood of urinary tract infections.
C. Restrict fluids between meals and after the evening meal: Fluid restriction is not appropriate in dehydration, as the patient needs fluid replacement to restore balance. Limiting fluids could worsen confusion, impair perfusion, and further elevate the risk of complications
D. Insert an indwelling catheter until the symptoms have resolved: Indwelling catheters increase the risk of urinary tract infections, especially in older adults. Catheterization should be avoided unless absolutely necessary for close monitoring of urine output or in cases of urinary obstruction.
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