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","D","E"]
Explanation
Choice A reason: Bathing twice a day is not necessary and can dry out the skin, which may lead to cracks and increase the risk of infection.
Choice B reason: Douching is not recommended as it can disrupt the natural ?ora of the vagina and potentially increase the risk of UTIs.
Choice C reason: Consuming adequate fluids is important to help ?ush bacteria from the urinary tract.
Choice D reason: Completing all antibiotics as prescribed is crucial to ensure the infection is fully treated and to prevent resistance.
Choice E reason: Wiping from front to back helps prevent bacteria from the anal area from spreading to the urethra.
Correct Answer is A
Explanation
Choice A reason: As CKD progresses, the kidneys' ability to filter blood decreases, leading to an increase in urine albumin, a sign of kidney damage.
Choice B reason: GFR would decrease, not increase, as CKD progresses because the kidneys' filtering capacity diminishes.
Choice C reason: Creatinine levels would increase, not decrease, as kidney function worsens in CKD.
Choice D reason: Proteinuria would increase, not decrease, as CKD progresses due to the kidneys' impaired filtering
ability
.
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