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 B

Explanation

A. This is incorrect. Herbal supplements are not always safe, and some can have adverse effects on kidney function, especially if used in excessive amounts or in combination with certain medications.

B. This is correct. Regular use of herbal supplements can potentially interact with medications, including those prescribed for kidney disease, and worsen kidney function. Some herbal supplements may have diuretic properties or may be metabolized by the kidneys, leading to potential complications for individuals with ESRD.

C. This is incorrect. Herbal supplements are not regulated by the U.S. Food and Drug Administration (FDA. , and their safety and efficacy may vary. Some herbal supplements have been associated with adverse effects on kidney health and may not be as benign as the client assumes.

D. This is incorrect. Herbal supplements should not be considered as replacements for prescribed medications in managing ESRD. The client should always consult with their healthcare provider before starting or continuing the use of herbal supplements to ensure they are safe and appropriate for their medical condition.

Questions

A. "Phosphate binders help protect your kidneys from further damage and slow down the progression of ESRD." B. "Taking phosphate binders can improve calcium absorption and promote bone health." C. "Phosphate binders are prescribed to control your blood pressure and reduce the risk of heart complications." D. "You need to take phosphate binders to reduce the level of phosphorus in your blood and prevent bone and muscle problems."

Correct Answer is D

Explanation

A. This statement is incorrect. While phosphate binders may be prescribed to manage phosphorus levels, they do not protect the kidneys or slow down the progression of ESRD.

B. This statement is not the primary reason for prescribing phosphate binders. While they may influence calcium absorption, their main role is to control phosphorus levels.

C. This statement is not the main purpose of phosphate binders. While managing phosphorus levels may have some effect on blood pressure and heart health, the primary rationale for using phosphate binders is to reduce the elevated phosphorus levels in the blood.

D. This statement is correct. In clients with ESRD, impaired kidney function can lead to increased phosphorus levels in the blood (hyperphosphatemiA. . Phosphate binders are prescribed to lower the absorption of dietary phosphorus, thus reducing the phosphorus level in the blood. Maintaining appropriate phosphorus levels is essential for bone and muscle health and can help prevent complications associated with hyperphosphatemia.

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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 nurse is assessing a client with ESRD and asks about their history of medications. The client mentions using non-prescription herbal supplements regularly. Which response by the nurse is accurate?

Correct Answer is B

Explanation

A nurse is educating a client with ESRD about the importance of adhering to the prescribed medication regimen. The client asks why they need to take phosphate binders. Which response by the nurse is correct?

Correct Answer is D

Explanation

A nurse is providing education to a client with ESRD about dietary restrictions related to their condition. The client asks why they need to limit their potassium intake. Which response by the nurse is correct?

A nurse is providing education to a client with ESRD about stress management techniques. Which intervention should the nurse recommend to help the client cope with stress effectively?

A client with ESRD is receiving hemodialysis. The client asks the nurse about the purpose of this treatment. Which response by the nurse is accurate?

A client is considering a preemptive renal transplant before requiring dialysis. The client asks the nurse about the advantages of this approach. Which response by the nurse is accurate?

A client with ESRD asks the nurse about the common symptoms they may experience. Which response by the nurse is accurate?

A client with ESRD has found a suitable living kidney donor. The client asks the nurse about the surgical procedure for the kidney transplant. Which response by the nurse is accurate?

A nurse is educating a client with ESRD about the importance of adhering to a renal diet. Which statement by the client indicates a need for further teaching?

A client with ESRD is expressing frustration and lack of motivation in adhering to their treatment plan. The nurse recognizes the importance of motivation in managing the disease effectively. What intervention should the nurse implement to enhance the client's motivation?