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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This statement is incorrect. Hemodialysis does not involve the removal of the peritoneal membrane; that description is characteristic of peritoneal dialysis.
B) This statement is accurate. Hemodialysis uses a machine called a dialyzer to filter blood outside the body, removing waste products and excess fluid before returning the clean blood to the patient.
C) This statement is incorrect. Hemodialysis does not rely on a catheter inserted into the bladder; that description is characteristic of urinary catheterization.
D) This statement is incorrect. Hemodialysis does not use a pump to circulate dialysate through the intestines; that description is characteristic of peritoneal dialysis.
Correct Answer is C
Explanation
A)This statement is incorrect. Administering an analgesic for the headache may provide temporary relief, but it does not address the underlying issue of fluid overload and elevated blood pressure.
B) This statement is incorrect. Notifying the healthcare provider about the blood pressure changes is important, but assessing for fluid overload and taking appropriate actions should be the nurse's priority.
C) This statement is accurate. Headache and restlessness during hemodialysis, along with elevated blood pressure, may indicate fluid overload. The nurse should assess the client's weight and fluid intake during the dialysis session to determine if there is excessive fluid retention.
D) This statement is incorrect. Increasing the dialysate solution flow rate may not be appropriate without further assessment of the client's fluid status. It could worsen the fluid overload and further increase blood pressure.
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