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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: In acute kidney injury (AKI), the blood urea nitrogen (BUN) level is expected to be elevated due to the kidneys' impaired ability to excrete urea, which is a waste product of protein metabolism. Normal BUN levels range from approximately 7 to 20 mg/dL.
Choice B reason: Hypercalcemia is not commonly associated with AKI. Instead, patients with AKI may experience hypocalcemia due to the kidneys' reduced ability to convert vitamin D to its active form, which is necessary for calcium absorption.
Choice C reason: Metabolic alkalosis is not a typical finding in AKI. More commonly, patients with AKI experience metabolic acidosis because the kidneys are unable to excrete acid effectively, leading to an accumulation of acid in the body.
Choice D reason: Hypokalemia is generally not expected in AKI. The condition is more often associated with hyperkalemia, as the impaired kidney function leads to a reduced excretion of potassium, which can accumulate to dangerous levels.
Correct Answer is B
Explanation
Choice A reason: The erythrocyte sedimentation rate (ESR) is not directly affected by epoetin alfa therapy, which is used to treat anemia.
Choice B reason: Epoetin alfa stimulates erythropoiesis, leading to an increase in red blood cell production, which would be reflected in an increased hematocrit level.
Choice C reason: The platelet count is not directly affected by epoetin alfa therapy.
Choice D reason: The leukocyte count is not directly affected by epoetin alfa therapy.
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