A nurse is providing education to a client undergoing peritoneal dialysis about maintaining good peritoneal catheter care. Which statement by the client indicates a need for further education?

"I will avoid doing any heavy lifting to prevent damage to the catheter."

"I will clean the catheter exit site with soap and water daily."

"I will change the dressing around the catheter insertion site weekly."

"I will notify my healthcare provider if there is any redness or drainage at the catheter site."

Answer and Explanation

The Correct Answer is C

A. Correct. Avoiding heavy lifting can help prevent trauma or dislodgement of the peritoneal catheter, which can be a risk factor for infection or complications.

B. Correct. Cleaning the catheter exit site with soap and water daily helps maintain cleanliness and reduce the risk of infection.

C. Incorrect. The dressing around the catheter insertion site should be changed more frequently than weekly, ideally every 2-3 days, to ensure proper hygiene and reduce the risk of infection.

D. Correct. Notifying the healthcare provider about any redness or drainage at the catheter site is essential, as these can be signs of infection or other complications that require prompt evaluation and treatment.

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Correct Answer is B

Explanation

A) This statement is incorrect. Increasing the dialysis session duration would not address the client's muscle cramps and may lead to further fluid and electrolyte imbalances.

B) This statement is accurate. Muscle cramps during hemodialysis are often caused by the cooling effect of the dialysate solution. Increasing the temperature of the dialysate can help alleviate the cramps.

C) This statement is incorrect. Decreasing the dialysate solution flow rate may not directly address the muscle cramps and may impact the effectiveness of the dialysis treatment.

D) This statement is incorrect. Administering an anticoagulant medication is not indicated for muscle cramps during hemodialysis. Anticoagulants are used to prevent blood clots during the procedure but would not alleviate muscle cramps.

A. Protein B. Sodium C. Calcium D. Iron

Correct Answer is A

Explanation

A) This statement is accurate. Clients on hemodialysis should limit their protein intake to reduce the workload on the kidneys and minimize waste buildup. Excess protein intake can lead to the accumulation of urea and other waste products, which can be challenging for the compromised kidneys to eliminate.

B) This statement is incorrect. While clients on hemodialysis may need to limit sodium intake to manage fluid retention and blood pressure, the primary nutrient that requires limitation in their diet is protein.

C) This statement is incorrect. Clients on hemodialysis may need to monitor their calcium intake, but it is not the primary nutrient that requires limitation in their diet. Calcium levels may be affected by the use of phosphate binders and the avoidance of high-phosphorus foods, but protein restriction is more critical.

D) This statement is incorrect. Iron intake may need to be managed for clients with anemia, which is common in end-stage renal disease (ESRD) and dialysis. However, protein restriction remains a more significant dietary consideration for clients on hemodialysis.

QUESTIONS

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A nurse is providing education to a client undergoing peritoneal dialysis about maintaining good peritoneal catheter care. Which statement by the client indicates a need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client on hemodialysis reports experiencing muscle cramps during the procedure. Which intervention should the nurse implement?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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