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A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?

Increased urinary output

Bradycardia

Nausea and vomiting

Hyperactive bowel sounds

Answer and Explanation

The Correct Answer is C

Choice A reason: Increased urinary output is not typically associated with peritonitis, especially during peritoneal

dialysis.

Choice B reason: Bradycardia, or a slow heart rate, is not a common manifestation of peritonitis.

Choice C reason: Nausea and vomiting are common symptoms of peritonitis and should be monitored in clients

receiving peritoneal dialysis.

Choice D reason: Hyperactive bowel sounds are not specifically indicative of peritonitis; they can be associated with a variety of gastrointestinal conditions.

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Correct Answer is C

Explanation

Choice A reason: Dizziness can be a symptom of DKA due to dehydration; however, it is not as specific as mental status changes.

Choice B reason: Nervousness is not a specific symptom of DKA and can be related to high blood glucose levels rather than DKA itself.

Choice C reason: Mental status changes such as confusion or altered consciousness are significant indicators of DKA and require immediate medical atention.

Choice D reason: Cool, clammy skin is not typically associated with DKA; instead, DKA can present with dry skin and mouth due to dehydration.

A. "A low-protein diet will reduce the risk for hyperkalemia." B. "A low-protein diet reduces the risk for uremia." C. "A low-protein diet reduces the risk for edema." D. "A low-protein diet will decrease the nitrogenous waste in the blood."

Correct Answer is B

Explanation

Choice A reason: While a low-protein diet can help manage electrolyte imbalances, it is not specifically targeted at reducing the risk for hyperkalemia. Hyperkalemia is more directly managed by restricting foods high in potassium.

Choice B reason: A low-protein diet helps reduce the risk for uremia, which is the accumulation of waste products in the blood due to impaired kidney function. By consuming less protein, there is less urea and other nitrogenous wastes for the kidneys to filter, which can help delay the progression of kidney disease.

Choice C reason: Edema is related to ﬂuid retention and not directly to protein intake. A low-protein diet does not specifically reduce the risk for edema unless it is associated with kidney dysfunction aﬀecting ﬂuid balance.

Choice D reason: A low-protein diet will indeed decrease the amount of nitrogenous waste in the blood because less protein breakdown means less waste for the kidneys to remove. However, this choice is less specific than Choice B, which directly addresses the condition of uremia that is a concern for patients with chronic kidney failure.

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A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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