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."

Answer and Explanation

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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Correct Answer is D

Explanation

A) This statement is incorrect. Hypokalemia (low potassium levels) is not an indication for initiating dialysis. In AKI, electrolyte imbalances can occur, but hyperkalemia is more likely due to impaired kidney function.

B) This statement is incorrect. Hyponatremia (low sodium levels) is not a primary indication for initiating dialysis in AKI. It can occur due to fluid shifts, but the primary concern in AKI is the accumulation of waste products like urea, leading to uremia.

C) This statement is incorrect. Hypernatremia (high sodium levels) is not a primary indication for initiating dialysis in AKI. Hypernatremia is rare in AKI and usually occurs when there is a significant loss of free water compared to sodium intake.

D) Uremia, which is characterized by elevated levels of urea and other waste products in the blood, is a critical indication for initiating dialysis in clients with acute kidney injury. Dialysis helps remove these toxic substances from the bloodstream.

A. Collect a sample of the effluent for culture and sensitivity testing. B. Instruct the client to stop the exchange immediately. C. Notify the healthcare provider about the cloudy effluent. D. Encourage the client to perform another exchange.

Correct Answer is C

Explanation

A. Incorrect. Collecting a sample of the effluent for culture and sensitivity testing may be necessary, but notifying the healthcare provider about the finding should be done first.

B. Incorrect. Stopping the exchange immediately may be necessary in some cases, but the nurse should first communicate the finding to the healthcare provider for further assessment and guidance.

C. Correct. Cloudy dialysate effluent may indicate peritonitis, an infection of the peritoneal cavity, which requires immediate attention and treatment by the healthcare provider.

D. Incorrect. Encouraging the client to perform another exchange without further assessment can potentially exacerbate any underlying issue causing the cloudy effluent.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with acute kidney injury (AKI). The client's urine output is significantly reduced, and laboratory tests show elevated levels of blood urea nitrogen (BUN) and creatinine. Which of the following is the primary indication for initiating dialysis in this client?

Correct Answer is D

Explanation

A client receiving peritoneal dialysis reports cloudy dialysate effluent during an exchange. What should the nurse do first?

Correct Answer is C

Explanation

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?

A nurse is caring for a client with end-stage renal disease (ESRD). The client presents with severe fluid overload, pulmonary edema, and uncontrolled hypertension. Which of the following is the primary indication for initiating dialysis in this client?

A nurse is caring for a client undergoing hemodialysis. Which intervention is essential to prevent dialysis-related hypotension?

A client on hemodialysis is prescribed erythropoietin-stimulating agents (ESAs) to manage anemia. Which of the following laboratory values should the nurse monitor closely during ESA therapy?

A nurse is caring for a client on hemodialysis who is experiencing muscle cramps during the procedure. Which intervention should the nurse implement?

A nurse is teaching a client undergoing hemodialysis about the importance of maintaining vascular access. Which statement by the client indicates a correct understanding of the teaching?

A nurse is caring for a client on peritoneal dialysis who complains of cloudy drainage from the catheter site. Which of the following actions should the nurse take first?

A client on peritoneal dialysis is experiencing constipation. Which of the following interventions should the nurse implement to manage this condition?