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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Zolpidem 10 mg PO HS:This is the correct and acceptable documentation format. It includes the full drug name, dosage, route, and timing abbreviation ("HS" for bedtime), all of which are permitted and clear in medical documentation.
B. Heparin 10,000 u subcutaneously TID:The abbreviation "u" for units is considered unsafe and prone to misreading (e.g., as a zero). Instead, "units" should be written out to prevent medication errors.
C. Docusate 100 mg PO QD:"QD" is a dangerous abbreviation that can be misread as "QID" (four times daily). The Joint Commission recommends writing "daily" instead to ensure clarity and patient safety.
D. Lorazepam 2 mg PO BID:While mostly acceptable, using "BID" can be risky because it may be misinterpreted. Current best practices encourage writing "twice daily" to reduce ambiguity in documentation.
Correct Answer is C
Explanation
A. "It is not possible to have someone else in your head talking to you." This dismisses the client’s experience and can make them feel invalidated or misunderstood. Such responses damage rapport and may discourage further communication or trust in the therapeutic relationship.
B. "Why do you think he is telling you what to do?"This response presses the client to analyze their hallucination, which may increase anxiety or confusion. It also shifts focus away from support and validation, which should be the priority during such disclosures.
C. "Although I can't hear that voice, it must be very upsetting for you."This response acknowledges the client’s feelings without reinforcing the hallucination. It maintains therapeutic boundaries while expressing empathy, helping the client feel heard and supported.
D. "Are you sure it wasn't your roommate telling you that?"This questions the client’s reality and can cause distress or frustration. Challenging a hallucination in this manner is not therapeutic and may make the client defensive or confused.
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