A nurse is providing discharge teaching to a client who will be performing continuous ambulatory peritoneal dialysis (CAPD) at home. Which of the following statements from the client indicates an understanding of this type of dialysis management? (Select all that apply)
"I must wash my hands every time before I connect the tubing to the catheter in my stomach."
"I will lay down for 4 to 6 hours every time the new solution is dwelling in my peritoneal cavity."
"I will weigh myself daily and keep track of my weight in my dialysis record."
"I will complete the instillation of fluid once a day at bedtime."
"I will check my blood pressure and follow the instructions related to changes I might need to do based on the results."
Correct Answer : A,C,E
Choice A reason: Proper hand hygiene is essential before connecting the tubing to the catheter to prevent infections, which is a key component of CAPD management.
Choice B reason: There is no requirement to lay down while the dialysis solution dwells in the peritoneal cavity. Patients can move around and continue with their daily activities.
Choice C reason: Regularly weighing oneself is important to monitor fluid balance and the effectiveness of the dialysis, making it a crucial part of home dialysis management.
Choice D reason: CAPD typically involves multiple exchanges throughout the day, not just one instillation at bedtime.
Choice E reason: Monitoring blood pressure is important for managing fluid balance and cardiovascular health in patients on dialysis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Air embolism is a potential complication during hemodialysis, but it would likely present with more acute symptoms such as chest pain or difficulty breathing.
Choice B reason: Septicemia would typically present with fever and hypotension, not necessarily with headache, nausea, and restlessness.
Choice C reason: Dialysis disequilibrium syndrome can occur after hemodialysis, especially after the first treatment, and is characterized by symptoms such as headache, nausea, and restlessness.
Choice D reason: Peritonitis is a complication associated with peritoneal dialysis, not hemodialysis.
Correct Answer is C
Explanation
Choice A reason: Increased urinary output is not typically associated with peritonitis, especially during peritoneal
dialysis.
Choice B reason: Bradycardia, or a slow heart rate, is not a common manifestation of peritonitis.
Choice C reason: Nausea and vomiting are common symptoms of peritonitis and should be monitored in clients
receiving peritoneal dialysis.
Choice D reason: Hyperactive bowel sounds are not specifically indicative of peritonitis; they can be associated with a variety of gastrointestinal conditions.
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