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."

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A reason: Diabetes can increase the risk of infection, including peritonitis, due to immune system impairment.

Choice B reason: Obesity may contribute to surgical complications but is not directly linked to an increased risk of peritonitis in the context of peritoneal dialysis.

Choice C reason: Hemochromatosis can affect many organs but is not directly linked to an increased risk of peritonitis in peritoneal dialysis.

Choice D reason: Ulcerative colitis affects the colon and is not directly linked to an increased risk of peritonitis in peritoneal dialysis.

A. Providing surgical site or wound care B. Managing postoperative pain C. Assisting with early ambulation D. Monitoring urinary function

Correct Answer is D

Explanation

Choice A reason: The nurse is not providing surgical site or wound care by documenting urination.

Choice B reason: Managing postoperative pain is not directly related to monitoring the client's ability to urinate.

Choice C reason: Assisting with early ambulation does not pertain to the urinary function directly.

Choice D reason: Monitoring urinary function is part of postoperative care, especially after removal of a Foley catheter, to ensure the client is able to void normally.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving peritoneal dialysis for kidney failure. Which additional condition in the client's medical history puts the client at increased risk for the development of peritonitis?

Correct Answer is A

Explanation

A nurse removes a client's Foley catheter and documents that the client urinates 4 hours later. Which of the following elements of postoperative care is the nurse performing?

Correct Answer is D

Explanation

A nurse is performing discharge teaching with a client who was admited for pyelonephritis. Which of the following instructions related to the prevention of pyelonephritis should the nurse include in the teaching? (Select all that apply.)

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?

A nurse is admitting a client who has pyelonephritis. Which of the following manifestations should the nurse expect to be present during the assessment? (Select all that apply.)

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?

A nurse is providing discharge teaching to a client who has a new arteriovenous fistula in the right forearm. Which of the following manifestations should the nurse include in the teaching as possible indications of venous insufficiency?

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

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