A nurse is providing discharge teaching for a client who is to perform peritoneal dialysis at home. Which of the following information should the nurse include?

You should warm the dialysate in a microwave oven before instillation.

You should anticipate pain during the first week of the inﬂow of dialysate.

You should expect redness at the catheter exit site.

You should avoid foods high in fiber.

None of the above.

Answer and Explanation

The Correct Answer is E

Choice A reason: Warming the dialysate in a microwave oven is not recommended because uneven heating could occur, leading to hot spots that can burn the peritoneal cavity. The dialysate should be warmed to body temperature using a warming device designed for this purpose.

Choice B reason: While some discomfort may be experienced during the first few exchanges, significant pain is not expected. If pain occurs, it should be reported to a healthcare provider, as it may indicate an underlying problem.

Choice C reason: Redness at the catheter exit site is not a normal expectation and could indicate an infection. The site should be kept clean and dry, and any signs of redness, swelling, or discharge should be reported to a healthcare provider immediately.

Choice D reason: There is no need to avoid foods high in fiber unless otherwise advised by a healthcare provider. In fact, a diet high in fiber can be beneficial for bowel regularity, which is important for patients on peritoneal dialysis.

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Correct Answer is B

Explanation

Choice A reason: Specific gravity is typically increased in clients who have hypovolemia, not decreased, due to the concentration of urine as the body atempts to conserve water.

Choice B reason: Creatinine levels are indeed increased in clients who have acute kidney injury, reffecting decreased kidney function and filtration.

Choice C reason: Potassium levels are not necessarily increased in clients who have polyuria. Polyuria can be associated with a variety of conditions and does not directly indicate high potassium levels.

Choice D reason: BUN, or blood urea nitrogen, is typically increased in clients who have dehydration, not decreased, due to the concentration of blood solutes as the body conserves water.

A. Pain management B. Blood glucose control C. Fluid restriction D. Blood pressure control

Correct Answer is D

Explanation

Choice A reason: While pain management is important for comfort, it does not directly slow the progression of PKD to ESRD.

Choice B reason: Blood glucose control is important for overall health but is not the most critical factor in slowing the progression of PKD to ESRD.

Choice C reason: Fluid restriction is not typically necessary for PKD unless there is an associated condition that requires it.

Choice D reason: Blood pressure control is crucial in PKD as hypertension can accelerate the progression to ESRD.

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A nurse is providing discharge teaching for a client who is to perform peritoneal dialysis at home. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing laboratory values associated with the renal system with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the values?

Correct Answer is B

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Correct Answer is D

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