A nurse is providing discharge education to a client with chronic renal failure who will be receiving peritoneal dialysis at home. What should the nurse include in the client's education about peritoneal dialysis care?

"You should avoid touching the dialysis catheter site to prevent infection."

"You will need to weigh yourself daily and record your weight in a log."

"Peritoneal dialysis requires frequent visits to the dialysis center for treatments."

"You can administer pain medication before starting the dialysis exchange."

Answer and Explanation

The Correct Answer is A

A. Correct. Touching the dialysis catheter site increases the risk of infection, and clients receiving peritoneal dialysis must practice meticulous catheter care to minimize this risk.

B. Incorrect. While daily weight monitoring is essential for clients on peritoneal dialysis, it is not specifically related to peritoneal dialysis care.

C. Incorrect. Peritoneal dialysis is a home-based treatment, and the client performs the dialysis exchanges themselves. There is no need for frequent visits to the dialysis center.

D. Incorrect. Pain medication is not typically needed before starting a peritoneal dialysis exchange, as the procedure itself is not painful. Proper technique and sterile care are the main focus of peritoneal dialysis education.

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Correct Answer is A

Explanation

A. Correct. An increase in blood pressure readings can be an early indication of fluid retention in a client with chronic renal failure. Fluid overload can lead to hypertension as the kidneys struggle to excrete excess fluids.

B. Incorrect. Shortness of breath and crackles in the lungs are signs of fluid overload but are considered more advanced symptoms. These indicate that fluid has accumulated in the lungs, leading to pulmonary edema.

C. Incorrect. Decreased serum potassium levels (hypokalemiA. are not typically associated with fluid overload. Instead, chronic renal failure often leads to hyperkalemia due to impaired potassium excretion.

D. Incorrect. Rapid weight loss over a few days is not indicative of fluid retention; rather, it may suggest dehydration or inadequate caloric intake.

A. "The GFR test measures the volume of urine produced in 24 hours." B. "This test helps assess the client's blood glucose levels." C. "The GFR test evaluates how well your kidneys are filtering waste and fluids from the blood." D. "It measures the client's ability to excrete potassium and sodium in the urine."

Correct Answer is C

Explanation

A. Incorrect. The volume of urine produced in 24 hours is measured through a different test called the 24-hour urine collection, not the GFR test.

B. Incorrect. The GFR test does not assess blood glucose levels; it is primarily used to evaluate kidney function.

C. Correct. The GFR test measures how well the kidneys are filtering waste and fluids from the blood. It is an important indicator of kidney function and is commonly used to stage chronic renal failure.

D. Incorrect. The GFR test does not specifically measure the excretion of potassium and sodium in the urine; instead, it focuses on overall kidney function and filtration rate.

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A nurse is providing discharge education to a client with chronic renal failure who will be receiving peritoneal dialysis at home. What should the nurse include in the client's education about peritoneal dialysis care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with chronic renal failure for fluid overload. Which finding should the nurse prioritize as an early indication of fluid retention?

Correct Answer is A

Explanation

A client with chronic renal failure asks the nurse about the purpose of the glomerular filtration rate (GFR) test. What is the nurse's best response?

Correct Answer is C

Explanation

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