A nurse is reinforcing teaching for a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis (CAPD). Which of the following should the nurse include in the teaching?
CAPD dialysis is the treatment of choice for a client who has a history of abdominal trauma
The dialyzing solution infuses using an infusion pump
The dialysis is continuous 24 hours a day, 7 days a week
The dialyzing solution is suspended at the level of the umbilicus during the infusion
The Correct Answer is C
Choice a reason: CAPD is not typically the treatment of choice for a client who has a history of abdominal trauma. Abdominal trauma can cause complications and may affect the peritoneal cavity's ability to act as a dialyzing membrane, making peritoneal dialysis less suitable. Clients with a history of abdominal issues may be better suited for other forms of dialysis, such as hemodialysis.
Choice b reason: The dialyzing solution in CAPD does not infuse using an infusion pump. Instead, it is infused into the peritoneal cavity by gravity through a catheter. The client manually controls the infusion process by hanging the dialysate bag at an appropriate height to allow gravity to facilitate the flow of the solution into the peritoneal cavity.
Choice c reason: The dialysis is continuous 24 hours a day, 7 days a week. CAPD involves multiple exchanges of dialysate throughout the day, with each dwell time typically lasting 4-6 hours. The process is continuous, providing ongoing filtration and waste removal, which helps manage the symptoms and complications of chronic kidney disease.
Choice d reason: The dialyzing solution is not suspended at the level of the umbilicus during the infusion. Instead, the dialysate bag is typically hung higher than the client's abdomen to use gravity for infusion. The height of the bag helps control the flow rate of the solution into the peritoneal cavity. Proper technique is essential to ensure effective dialysis and prevent complications.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice a reason: Simvastatin, a statin medication used to control high cholesterol, does not typically interact with IV contrast dye. There is no need to withhold simvastatin before radiological studies involving contrast dye. The primary concern with simvastatin is monitoring for potential side effects, such as muscle pain and liver function, but these are not directly related to contrast dye use.
Choice b reason: Pantoprazole, a proton pump inhibitor used to reduce stomach acid, does not have known interactions with IV contrast dye. It can be safely continued before, during, and after radiological studies involving contrast. The main considerations with pantoprazole are related to its effect on stomach acid and potential side effects like headaches or gastrointestinal issues.
Choice c reason: Valsartan, an angiotensin II receptor blocker used to manage hypertension, does not interact with IV contrast dye. There is no need to withhold valsartan before undergoing radiological studies with contrast. Valsartan is primarily concerned with managing blood pressure and may have side effects such as dizziness or increased potassium levels, but these are not influenced by contrast dye.
Choice d reason: Metformin, an oral hypoglycemic agent used to manage type 2 diabetes, should be withheld prior to radiological studies with IV contrast dye. There is a risk of lactic acidosis, a rare but serious complication, when metformin is combined with contrast dye. To reduce this risk, metformin should be withheld for at least 48 hours before and after the procedure, and renal function should be monitored closely. This precaution helps ensure the safety of clients undergoing radiological studies with contrast dye.
Correct Answer is D
Explanation
Choice a reason: A vegetarian diet is not a risk factor for bladder cancer. In fact, a diet high in fruits and vegetables may offer some protective effects against various cancers. There is no direct correlation between a vegetarian diet and an increased risk of bladder cancer.
Choice b reason: Alcohol use is not strongly linked to the development of bladder cancer. While excessive alcohol consumption can have various adverse health effects, it is not considered a primary risk factor for bladder cancer. Other factors play a more significant role in the etiology of this type of cancer.
Choice c reason: Caffeine use, such as drinking coffee or tea, has not been shown to significantly increase the risk of bladder cancer. Although studies have explored various dietary factors, caffeine consumption is not a known major risk factor for this disease.
Choice d reason: Tobacco use is a well-known risk factor for bladder cancer. Smoking is the most significant and established risk factor, as the carcinogens in tobacco are excreted in the urine, leading to prolonged exposure of the bladder lining to harmful substances. This increases the likelihood of developing bladder cancer. A history of tobacco use is commonly found in patients diagnosed with bladder cancer.
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