A nurse is caring for a client with ESRD who is receiving peritoneal dialysis. The nurse should closely monitor the client for which potential complication related to this type of dialysis?

Hemorrhage at the catheter insertion site

Hypoglycemia and blood glucose fluctuations

Electrolyte imbalances and fluid overload

Impaired respiratory function and lung collapse

Answer and Explanation

The Correct Answer is A

A. This is correct. Peritoneal dialysis involves the insertion of a catheter into the peritoneal cavity, and there is a risk of bleeding at the insertion site. The nurse should closely monitor for any signs of hemorrhage or infection at the catheter site.

B. This is incorrect. Hypoglycemia and blood glucose fluctuations are not common complications of peritoneal dialysis. However, clients with diabetes may need adjustments in their diabetes management during peritoneal dialysis.

C. This is incorrect. Electrolyte imbalances and fluid overload are potential complications of both hemodialysis and peritoneal dialysis. While electrolyte imbalances can occur with peritoneal dialysis, hemorrhage at the catheter insertion site is a more specific concern for this type of dialysis.

D. This is incorrect. Impaired respiratory function and lung collapse are not typical complications of peritoneal dialysis. These are more commonly associated with other respiratory conditions and not directly related to peritoneal dialysis.

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Correct Answer is C

Explanation

A. This is incorrect. A history of cardiovascular disease can increase the risk of developing ESRD. Cardiovascular disease and kidney disease often share common risk factors, such as hypertension and diabetes, which can contribute to the progression of both conditions.

B. This is incorrect. While the chronic use of certain medications can potentially harm the kidneys, it is not a common risk factor for the development of ESRD. Medications like NSAIDs are more directly associated with kidney injury and acute kidney damage rather than the development of ESRD.

C. This is correct. Cardiovascular disease is a significant risk factor for the development of ESRD. Chronic kidney disease and cardiovascular disease often coexist and share common risk factors. Cardiovascular disease can lead to impaired blood flow to the kidneys, contributing to kidney damage and dysfunction.

D. This is incorrect. While having a family history of gout can be associated with an increased risk of kidney stones and kidney damage, it is not a common risk factor for the development of ESRD.

A. The presence of a pet to provide companionship during dialysis exchanges B. Availability of transportation options to attend regular dialysis clinic visits C. Access to a reliable electricity source for the peritoneal dialysis machine D. Proximity to a local hospital or medical facility for emergency care

Correct Answer is C

Explanation

A. This is not directly related to the client's successful home-based peritoneal dialysis. While companionship is essential for many clients, it is not a critical factor for dialysis treatment.

B. This is not the most appropriate factor to assess for home-based peritoneal dialysis. Availability of transportation is crucial for clients who may need to travel for hemodialysis sessions, not for clients undergoing peritoneal dialysis at home.

C. This is correct. Access to a reliable electricity source is crucial for home-based peritoneal dialysis since the peritoneal dialysis machine requires electricity to function properly. The machine helps with the exchange of dialysate, which is necessary for effective treatment.

D. This is not directly related to home-based peritoneal dialysis. While proximity to a local hospital or medical facility is always important for any client, it is not a primary factor for choosing home-based peritoneal dialysis as a treatment option.

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A nurse is caring for a client with ESRD who is receiving peritoneal dialysis. The nurse should closely monitor the client for which potential complication related to this type of dialysis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of cardiovascular disease asks the nurse about the risk factors for developing ESRD. Which response by the nurse is accurate?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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