A nurse is monitoring a client undergoing dialysis on the nephrology unit.
Which nursing actions are appropriate when providing emotional support to a patient undergoing peritoneal dialysis?
Provide antibiotic ointment to dialysis exit site
Encourage questions and discussions about fears
Monitor for signs of peritonitis
Restrict fluid intake without considering urinary output
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}
• Providing antibiotic ointment to the dialysis exit site is a medical order–driven intervention used for infection prevention, not a component of emotional support. While important in care, it does not directly address the psychosocial or supportive needs of the client during dialysis.
• Encouraging questions and discussions about fears allows the nurse to validate the client’s feelings, provide accurate education, and reduce anxiety. Open communication supports coping, enhances trust, and directly fulfills the provider’s order for emotional support and counseling.
• Monitoring for signs of peritonitis is primarily a clinical safety measure rather than emotional support, but it remains an anticipated nursing action during peritoneal dialysis. By ensuring early detection of infection, the nurse indirectly provides reassurance, which helps reduce patient anxiety about complications.
• Restricting fluid intake without considering urinary output is inappropriate because fluid management must be individualized. Overly strict restriction without assessing renal function and residual urine output may worsen the client’s sense of isolation and discomfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Take phenazopyridine for at least 7 days: Phenazopyridine is a urinary analgesic and does not treat the underlying infection. It should be used only for symptom relief, usually for a short duration, and not as a substitute for the full course of antibiotics.
B. Phenazopyridine may cause photosensitivity: Photosensitivity is not a commonly reported side effect of phenazopyridine. The primary concern with this medication relates to its effects on urine color rather than skin sensitivity to sunlight.
C. Phenazopyridine may change the urine color: Phenazopyridine can turn urine a reddish-orange color, which is harmless but important for patients to understand to avoid alarm. Educating the patient about this expected effect improves adherence and reduces anxiety related to urine discoloration.
D. Take phenazopyridine before sexual course: Phenazopyridine is not indicated as a preventative or prophylactic measure for sexual activity. Its use is for symptomatic relief of urinary discomfort and should be coordinated with the prescribed antibiotic regimen.
Correct Answer is C
Explanation
A. Protein in the urine: Proteinuria is generally a sign of kidney damage or other renal conditions. While underlying kidney disease may coexist with stone formation, protein in the urine does not directly increase the risk of stone development.
B. Iron deficiency: Iron deficiency affects hemoglobin production and overall oxygen-carrying capacity but has no direct correlation with the development of renal calculi. Nutritional deficiencies like iron deficiency do not contribute to the crystallization of minerals in the urinary tract.
C. Dehydration: Dehydration reduces urine volume and increases the concentration of minerals and solutes in the urine, which can precipitate and form renal calculi. Adequate fluid intake dilutes urine and lowers the risk of stone formation, making hydration a key preventive measure for clients with urolithiasis.
D. Obesity: While obesity is associated with metabolic changes that can indirectly influence stone formation, it is not a direct cause of renal calculi. The primary modifiable risk factor that increases the likelihood of stones is concentrated urine due to insufficient fluid intake.
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