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 ["15"]
Explanation
Step 1: The total amount of amantadine required per dose is 150 mg.
Step 2: Each 5 mL of syrup contains 50 mg of amantadine.
Step 3: To find out how many mL are needed, we divide the total amount required by the amount in each 5 mL of syrup. So, (150 mg ÷ 50 mg/5 mL).
Step 4: The result is 15 mL.
So, the nurse should administer 15 mL per dose. This is already a whole number, so no rounding is necessary.
Correct Answer is A
Explanation
Choice A reason: Acute tubular necrosis (ATN) is a condition where there is damage to the renal tubular cells, which can lead to a decrease in GFR. This is because the tubular cells are responsible for reabsorbing substances from the filtrate back into the blood. When these cells are injured, they cannot function properly, leading to a buildup of waste products and a decrease in GFR.
Choice B reason: While obstruction can lead to a decrease in GFR, it is not the primary cause in the context of acute tubular necrosis. Obstruction typically occurs in postrenal causes of acute kidney injury.
Choice C reason: In?ammatory cells do invade damaged kidneys, but this is more characteristic of conditions such as acute interstitial nephritis rather than ATN. In ATN, the primary issue is the injury to the tubular cells themselves.
Choice D reason: A reduction of blood flow to the kidneys, or prerenal azotemia, can indeed lead to a decrease in GFR. However, in the context of ATN, the primary issue is not the blood flow but the damage to the renal tubules.
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