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 D

Explanation

A. Incorrect. Calcitriol is not given to enhance appetite or improve nutrition. Its primary role is in regulating calcium and phosphate levels.

B. Incorrect. Calcitriol does not directly impact urine output or prevent kidney stones.

C. Incorrect. While some medications may be prescribed to manage blood pressure in chronic renal failure, calcitriol is not one of them.

D. Correct. Calcitriol is the active form of vitamin D and plays a crucial role in regulating calcium and phosphate levels in the body. It helps maintain bone health by promoting the absorption of calcium from the digestive tract and preventing bone demineralization.

A. "The bone pain is related to the body's excess production of calcium, leading to joint inflammation." B. "Chronic renal failure causes the body to retain phosphorus, which can weaken your bones and cause pain." C. "Frequent bone pain is a common side effect of the medication used to manage chronic renal failure." D. "The kidney dysfunction in chronic renal failure leads to low levels of calcium in your bones, resulting in bone pain."

Correct Answer is B

Explanation

A. Incorrect. Excess production of calcium in the body is not a typical cause of bone pain in chronic renal failure.

B. Correct. Chronic renal failure can lead to impaired phosphorus excretion, resulting in elevated levels of phosphorus in the blood. High phosphorus levels can lead to bone demineralization, weakening the bones and causing bone pain.

C. Incorrect. While some medications used in the management of chronic renal failure may have side effects, frequent bone pain is not commonly associated with these medications.

D. Incorrect. Kidney dysfunction in chronic renal failure does not typically lead to low levels of calcium in the bones. Instead, it can lead to abnormalities in phosphorus levels, which affect bone health.

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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 client with chronic renal failure is prescribed calcitriol (active form of vitamin D. to manage calcium and phosphate levels. The client asks the nurse about the purpose of this medication. How should the nurse respond?

Correct Answer is D

Explanation

A client with chronic renal failure asks the nurse about the cause of their frequent bone pain. Which explanation by the nurse is accurate?

Correct Answer is B

Explanation

A nurse is instructing a client with chronic renal failure about medication adherence. The client asks why it is essential to take medications as prescribed. How should the nurse respond?

A client with chronic renal failure reports persistent pruritus (itching). What is the nurse's best response?

A client with chronic renal failure is prescribed calcium-based phosphate binders. What should the nurse include in the client's education about taking calcium-based phosphate binders?

A client with chronic renal failure reports experiencing frequent muscle cramps. What should the nurse recommend as an appropriate intervention to alleviate this symptom?

A nurse is teaching a client about the risk factors for chronic renal failure. Which statement made by the client indicates a correct understanding of the risk factors?

A client with chronic renal failure is experiencing fluid overload and hypertension. Which medication should the nurse anticipate being prescribed to address these complications?

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

A client with chronic renal failure asks the nurse why they need to limit their dietary protein intake. What is the nurse's best response?