A nurse is providing teaching about peritoneal dialysis to a client who has chronic kidney disease. Which of the following instructions should the nurse include in the teaching?
Wrap the dialysate with a heating pad before instillation.
Use clean technique when performing the procedure.
Advance the catheter into the peritoneum to promote drainage.
Lie in the same position throughout the procedure.
The Correct Answer is A
A. Wrap the dialysate with a heating pad before instillation: Warming the dialysate to body temperature helps prevent abdominal cramping and promotes comfort during infusion. It should be warmed using a heating pad, not a microwave, to ensure safe, even heating.
B. Use clean technique when performing the procedure: Peritoneal dialysis requires strict aseptic technique to prevent peritonitis, a serious infection. Clean technique is not sufficient for this sterile procedure and increases infection risk.
C. Advance the catheter into the peritoneum to promote drainage: The catheter should never be advanced by the client. It is surgically placed and should remain secure; any manipulation can cause injury or dislodgment.
D. Lie in the same position throughout the procedure: Changing positions may actually help facilitate better drainage. Clients are often encouraged to move or reposition slightly if drainage is sluggish. Remaining in one position is not necessary.
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Related Questions
Correct Answer is D
Explanation
A. Set the hot water heater to 54.4° C (130° F):This temperature is too high and poses a serious burn risk, especially for older adults with decreased skin sensitivity or delayed reaction times. The recommended safe setting is 48.9° C (120° F) or lower to prevent scalding injuries.
B. Place a throw rug on the kitchen floor:Throw rugs are a major tripping hazard for older adults and significantly increase the risk of falls. The nurse should recommend removing loose rugs or securing them with non-slip backing if they are necessary.
C. Remove the raised seat from the toilet:A raised toilet seat helps older adults with limited mobility or joint pain to sit and stand more easily, reducing the risk of falls or strain. Removing it would make toileting more difficult and unsafe.
D. Install a grab bar on the wall next to the toilet:Grab bars improve stability and reduce fall risk in key areas like the bathroom. They are a recommended safety measure for older adults, especially during toileting and bathing activities.
Correct Answer is B
Explanation
A. Remove the newborn's diaper: This may increase the risk of skin irritation or contamination from stool and urine. A better approach is to expose as much skin as possible while protecting the genital area appropriately.
B. Close the newborn's eyes before applying the mask: Closing the eyes before applying the phototherapy mask helps prevent eye damage from the intense light. It ensures that the eye pads stay properly positioned and prevents drying, irritation, or corneal injury.
C. Feed the newborn 1 oz (30 mL) of glucose water after feedings: Frequent breastfeeding or formula feeding is preferred to promote bowel movements and bilirubin excretion. Glucose water may also displace essential nutrients from milk and is not recommended.
D. Apply a moisturizing lotion to the newborn's skin: Lotions or ointments should be avoided during phototherapy because they can absorb heat from the light and lead to burns or skin irritation. The newborn’s skin should be kept clean and dry without topical products.
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