A nurse is caring for a client who is on continuous ambulatory peritoneal dialysis (CAPD. . What should the nurse include in the client's education regarding self-care during exchanges?

"Avoid warming the dialysate fluid before instilling it into your peritoneal cavity."

"Perform the exchanges in a clean, dry environment free from pets."

"Use tap water to cleanse your catheter insertion site before the exchange."

"Change your catheter dressing daily using sterile technique."

Answer and Explanation

The Correct Answer is B

A. Incorrect. Warming the dialysate fluid to body temperature before instilling it into the peritoneal cavity is a standard procedure in continuous ambulatory peritoneal dialysis (CAPD. .

B. Correct. Performing the exchanges in a clean, dry environment free from pets is crucial to prevent contamination and reduce the risk of infection during CAPD.

C. Incorrect. Using tap water to cleanse the catheter insertion site before the exchange is not recommended. The catheter exit site should be cleaned with an appropriate antiseptic solution as instructed by the healthcare provider.

D. Incorrect. While daily dressing changes are important, using sterile technique for catheter dressing changes may not be necessary, as the dressing does not directly contact the peritoneal cavity during CAPD exchanges.

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Correct Answer is B

Explanation

A. Incorrect. While administering an antiepileptic medication may be necessary if the client is experiencing seizures, it is essential to identify the underlying cause first.

B. Correct. The client's severe headache, confusion, and seizures may be indicative of dialysis disequilibrium syndrome, which is a complication of rapid solute removal during hemodialysis. Hypoglycemia can also present with similar symptoms, so assessing blood glucose levels is crucial to differentiate between the two conditions.

C. Incorrect. Documenting the findings and monitoring the client's condition are important, but addressing the acute symptoms and potential cause should be the priority.

D. Incorrect. Checking the client's pre-dialysis weight is not the priority when the client is experiencing severe neurological symptoms. Immediate assessment and intervention are needed.

A. Hypermagnesemia B. Hyperphosphatemia C. Hyperkalemia D. Hypervolemia

Correct Answer is D

Explanation

A) This statement is incorrect. Hypermagnesemia (elevated magnesium levels) can be a concern in ESRD, but it is not a primary indication for initiating dialysis. Magnesium levels can be managed through dietary restrictions and medications without the need for dialysis.

B) This statement is incorrect. Hyperphosphatemia (elevated phosphorus levels) is a common issue in ESRD, but it is not a primary indication for initiating dialysis. Clients with ESRD may receive phosphate binders to control phosphorus levels without necessarily needing immediate dialysis.

C) This statement is incorrect. Hyperkalemia (elevated potassium levels) is a concern in ESRD, but it is not the primary indication described in the scenario. While hyperkalemia may occur with fluid overload, the primary concern in this case is the hypervolemia and its associated symptoms.

D) Hypervolemia (severe fluid overload) is a critical indication for initiating dialysis in clients with end-stage renal disease. Dialysis helps remove excess fluid from the body and can relieve symptoms such as pulmonary edema and hypertension.

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A nurse is caring for a client who is on continuous ambulatory peritoneal dialysis (CAPD. . What should the nurse include in the client's education regarding self-care during exchanges?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client on hemodialysis presents with a severe headache, confusion, and seizures. What action should the nurse take first?

Correct Answer is B

Explanation

A nurse is caring for a client with end-stage renal disease (ESRD). The client presents with severe fluid overload, pulmonary edema, and uncontrolled hypertension. Which of the following is the primary indication for initiating dialysis in this client?

Correct Answer is D

Explanation

A client on peritoneal dialysis is concerned about the risk of infection at the catheter insertion site. Which of the following instructions should the nurse provide to the client?

A client on peritoneal dialysis is prescribed erythropoietin-stimulating agents (ESAs) to manage anemia. Which of the following laboratory values should the nurse monitor closely during ESA therapy?

A client with end-stage renal disease (ESRD) is receiving erythropoietin-stimulating agents (ESAs) as part of the dialysis treatment. Which of the following statements by the client indicates an understanding of the medication's purpose?

A nurse is providing education to a client who will be performing peritoneal dialysis at home. The client asks about the risk of infection. Which of the following responses by the nurse is accurate?

A nurse is caring for a client undergoing hemodialysis. Which intervention is essential to prevent dialysis-related hypotension?

A nurse is caring for a client with end-stage renal disease (ESRD) who is starting peritoneal dialysis. The client expresses concerns about the impact on their daily activities. Which of the following responses by the nurse is appropriate?

A client on hemodialysis has a history of arteriovenous (AV) fistula creation. Which of the following assessments should the nurse perform to ensure proper functioning of the AV fistula?

A client on hemodialysis reports feeling lightheaded and dizzy during the procedure. Which of the following actions should the nurse take first?