A nurse is teaching a client about self-administered peritoneal dialysis. Which of the following statements by the client indicates a need for further teaching?
"The volume of the output solution should be greater than the input solution."
"The fluid from my abdomen will be clear or slightly yellow."
"The microwave in my kitchen can warm the solution before I use it."
"The catheter can become infected even with sterile precautions."
The Correct Answer is C
Choice A reason: The output solution is typically the same or slightly less than the input solution due to fluid removal during dialysis.
Choice B reason: The fluid from the abdomen should be clear or slightly yellow; any other color may indicate infection or bleeding.
Choice C reason: Using a microwave to warm the solution is not recommended as it can unevenly heat the solution and damage its composition.
Choice D reason: While sterile precautions are taken, there is still a risk of infection with any catheter.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Clients with nephrotic syndrome are usually advised to decrease sodium intake to manage edema, not increase it.
Choice B reason: A kidney biopsy may be prescribed to determine the cause of nephrotic syndrome, so this statement does not indicate a need for further teaching.
Choice C reason: Swelling, particularly in the face, is a common symptom of nephrotic syndrome due to fluid retention.
Choice D reason: Losing protein in the urine is a hallmark of nephrotic syndrome, so this statement is accurate.
Correct Answer is C
Explanation
The correct answer is choice C: "You will need to avoid rigorous exercise during the test."
Rationale:
- Choice A: The collection time for a 24-hour urine creatinine clearance test typically starts at a specific time, not necessarily with the first urine of the day.
- Choice B: A creatinine clearance test requires a 24-hour urine collection, not just 12 hours.
- Choice C: Avoiding rigorous exercise is important during the test as it can affect creatinine levels and impact the accuracy of the results.
- Choice D: Storing the urine container in a dark location is not necessary for a creatinine clearance test.
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