A nurse is providing education to a client who will be performing peritoneal dialysis at home. The client asks about the risk of infection. Which of the following responses by the nurse is accurate?
"Infection is a rare complication of peritoneal dialysis."
"Infections can occur, but they are usually easy to treat with antibiotics."
"You will need to take antibiotics regularly to prevent infection."
"Infection is a common risk, so it is essential to maintain strict aseptic technique."
The Correct Answer is D
A) This statement is incorrect. Infection is not a rare complication of peritoneal dialysis. It is a common risk that requires proactive measures to prevent.
B) This statement is incorrect. While infections can occur and may be treatable with antibiotics, it is essential to focus on prevention and maintaining aseptic technique.
C) This statement is incorrect. Taking antibiotics regularly to prevent infection is not the standard practice for clients on peritoneal dialysis. Antibiotics are typically prescribed to treat infections when they occur, not as a preventive measure.
D) This statement is accurate. Infection is a significant risk for clients on peritoneal dialysis due to the direct access to the peritoneal cavity through the catheter. Strict aseptic technique is crucial to prevent infections.
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Related Questions
Correct Answer is B
Explanation
A. Increase the dialysis session duration: Extending the session may help reduce fluid shifts over time, but it is not an immediate intervention to relieve acute muscle cramps during dialysis.
B. Increase the dialysate solution temperature: Warming the dialysate can improve muscle perfusion and reduce the incidence of cramping during dialysis. It helps minimize vasoconstriction and discomfort.
C. Decrease the dialysate solution flow rate: This is not typically used to treat muscle cramps. Flow rate adjustments affect solute clearance and may not alleviate cramping.
D. Administer an anticoagulant medication: Anticoagulants are used to prevent clotting in the dialysis circuit and do not treat or prevent muscle cramps.
Correct Answer is C
Explanation
A) This statement is incorrect. Peritoneal dialysis does not use a machine to filter blood outside of the body; that description is characteristic of hemodialysis.
B) This statement is incorrect. Peritoneal dialysis does not involve the removal of the peritoneal membrane; instead, it uses the peritoneal membrane in the abdomen to filter waste.
C) This statement is accurate. Peritoneal dialysis uses the peritoneal membrane in the abdomen as a semipermeable membrane to filter waste products and excess fluids from the blood.
D) This statement is incorrect. Peritoneal dialysis does not require a catheter to be inserted into the bladder. Instead, it uses a catheter to infuse and drain dialysate into and out of the peritoneal cavity.
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