A nurse is caring for a client who is receiving peritoneal dialysis for kidney failure. Which additional condition in the client's medical history puts the client at increased risk for the development of peritonitis?

Diabetes

Obesity

Hemochromatosis

Ulcerative colitis

Answer and Explanation

The Correct Answer is A

Choice A reason: Diabetes can increase the risk of infection, including peritonitis, due to immune system impairment.

Choice B reason: Obesity may contribute to surgical complications but is not directly linked to an increased risk of peritonitis in the context of peritoneal dialysis.

Choice C reason: Hemochromatosis can affect many organs but is not directly linked to an increased risk of peritonitis in peritoneal dialysis.

Choice D reason: Ulcerative colitis affects the colon and is not directly linked to an increased risk of peritonitis in peritoneal dialysis.

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Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A reason: Proper perineal care is crucial in preventing UTIs, especially in a skilled nursing facility where clients may need assistance with personal hygiene.

Choice B reason: Catheters should be discontinued as soon as medically feasible because they can be a source of infection.

Choice C reason: It is important to complete the full course of prescribed antibiotics to ensure all bacteria are eradicated and to prevent antibiotic resistance.

Choice D reason: Encouraging clients to urinate regularly and completely empty their bladder can help ?ush out bacteria and prevent UTIs.

Choice E reason: Adequate fluid intake is essential to help dilute urine and ?ush bacteria from the urinary tract.

A. Bathing at least twice a day B. Using douche to cleanse the vaginal area C. Consuming adequate fluid intake D. Completing all the antibiotics as prescribed E. Wiping the perineal area from front to back after voiding

Correct Answer is ["C","D","E"]

Explanation

Choice A reason: Bathing twice a day is not necessary and can dry out the skin, which may lead to cracks and increase the risk of infection.

Choice B reason: Douching is not recommended as it can disrupt the natural ?ora of the vagina and potentially increase the risk of UTIs.

Choice C reason: Consuming adequate fluids is important to help ?ush bacteria from the urinary tract.

Choice D reason: Completing all antibiotics as prescribed is crucial to ensure the infection is fully treated and to prevent resistance.

Choice E reason: Wiping from front to back helps prevent bacteria from the anal area from spreading to the urethra.

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A nurse is caring for a client who is receiving peritoneal dialysis for kidney failure. Which additional condition in the client's medical history puts the client at increased risk for the development of peritonitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager at a skilled nursing facility has noticed an increase in urinary tract infections (UTIs) by 12% in the past year. In an e?ort to decrease this rate, which of the following should the nurse manager teach the nursing sta?? (Select all that apply.)

Correct Answer is ["A","B","C","D","E"]

Explanation

A nurse is performing discharge teaching with a client who was admited for pyelonephritis. Which of the following instructions related to the prevention of pyelonephritis should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

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A nurse is caring for a 68-kg (150-lb) client who has dehydration. Which of the following manifestations is an indication of effective treatment?

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