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","B","E"]
Explanation
Choice A reason: Fever can occur if the renal calculus leads to infection, which is a common complication associated with kidney stones.
Choice B reason: Urinary urgency is a symptom that can be associated with renal calculi, especially if the stones are
located in the lower part of the urinary tract.
Choice C reason: Incontinence is not typically a direct symptom of renal calculi, but it may occur secondary to other symptoms or complications.
Choice D reason: Gastrointestinal upset is not a common symptom of renal calculus, although some patients may experience nausea and vomiting.
Choice E reason: Flank pain is a classic symptom of renal calculus, often described as severe and colicky, radiating from the back towards the groin.
Correct Answer is B
Explanation
Choice A reason: The end of a menstrual period is not relevant to the intravenous pyelogram procedure.
Choice B reason: An allergy to shellfish is important to report as the contrast dye used in an intravenous pyelogram may contain iodine, which can cause an allergic reaction in individuals with shellfish allergies.
Choice C reason: Drinking fluids is generally encouraged to prevent kidney stones and is not a concern for the provider.
Choice D reason: Painful and red-tinged urination is a symptom of kidney stones but does not need to be reported unless it is a new or worsening symptom.
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