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 B
Explanation
Choice A reason: The erythrocyte sedimentation rate (ESR) is not directly affected by epoetin alfa therapy, which is used to treat anemia.
Choice B reason: Epoetin alfa stimulates erythropoiesis, leading to an increase in red blood cell production, which would be reflected in an increased hematocrit level.
Choice C reason: The platelet count is not directly affected by epoetin alfa therapy.
Choice D reason: The leukocyte count is not directly affected by epoetin alfa therapy.
Correct Answer is A
Explanation
The correct answer is Choice A
Choice A rationale: Headache and restlessness can be signs of a seizure or neurological disturbance, which phenytoin is used to treat. Phenytoin is an anticonvulsant medication that helps control seizures by stabilizing neuronal membranes and reducing excitability.
Choice B rationale: Decreased blood pressure and rapid pulse are not indications for phenytoin administration. These symptoms may suggest hypotension or cardiovascular issues, which require different interventions such as fluid resuscitation or vasopressors.
Choice C rationale: Muscle cramps and chest heaviness are not treated with phenytoin. These symptoms could indicate electrolyte imbalances or cardiac issues, which need specific treatments like electrolyte replacement or cardiac monitoring.
Choice D rationale: Pain and tingling at the access site are not indications for phenytoin administration. These symptoms may suggest local irritation or infection at the dialysis access site, requiring appropriate wound care or antibiotics.
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