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","C","D"]

Explanation

Choice A reason: Ensuring the client's urine output is at least 1 mL/kg/hour is important before administering potassium to prevent hyperkalemia, especially in clients with renal impairment.

Choice B reason: While educating the client about high-potassium food sources is important, it is not directly related to the administration of intravenous potassium.

Choice C reason: Cardiac monitoring during infusion is crucial due to the risk of arrhythmias associated with rapid

changes in potassium levels.

Choice D reason: Repeating blood serum potassium is necessary to monitor the effectiveness of the supplementation and avoid hyperkalemia.

Choice E reason: Potassium should not be prepared with 5% dextrose solution as it may cause a trans-cellular shift of potassium into cells, which is not recommended.

A. Serum calcium levels B. Serum phosphorus levels C. Serum potassium levels D. Serum magnesium levels

Correct Answer is B

Explanation

Choice A reason: Aluminum hydroxide does not primarily lower serum calcium levels. Calcium levels are typically managed in CKD patients through other medications and dietary restrictions, as hypercalcemia can occur in these patients.

Choice B reason: Aluminum hydroxide acts as a phosphate binder, which helps to lower serum phosphorus levels in patients with CKD. This is important because high phosphorus levels can lead to bone and heart problems in these patients. The normal range for serum phosphorus is approximately 2.5 to 4.5 mg/dL.

Choice C reason: Aluminum hydroxide does not have a significant effect on serum potassium levels. In CKD, potassium levels are managed through diet and other medications due to the risk of hyperkalemia, which can be life- threatening.

Choice D reason: While magaldrate contains magnesium, which could potentially worsen hypermagnesemia in CKD patients, aluminum hydroxide does not lower serum magnesium levels. Instead, it is less likely to cause elevated magnesium levels compared to magaldrate.

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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 is preparing to administer prescribed intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L (normal range: 3.5 to 5 mEq/L). Which of the following actions should the nurse plan to include? (Select all that apply.)

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

Explanation

Correct Answer is B

Explanation

A nurse is teaching a client who has chronic kidney failure about planning a low-protein diet. The client asks, "Why do I have to be concerned about protein?" Which of the following responses should the nurse make?

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