A nurse is teaching a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis (CAPD). Which of the following information should the nurse include in the teaching?
CAPD is the dialysis treatment of choice for clients who have a history of abdominal surgery.
CAPD requires a rigid schedule of exchange times.
CAPD requires the client to follow fewer dietary and fluid restrictions than hemodialysis requires.
CAPD filters the client's blood through an artificial device called a dialyzer.
The Correct Answer is C
Choice A reason: CAPD can be suitable for clients with a history of abdominal surgery, but it is not specifically the
treatment of choice due to this reason alone.
Choice B reason: CAPD does not require a rigid schedule of exchange times. It is ?exible and can be adjusted to fit the client's lifestyle.
Choice C reason: CAPD allows for more dietary and fluid freedom compared to hemodialysis because it is a continuous process that removes waste products and excess fluid more gradually.
Choice D reason: CAPD does not filter the client's blood through an artificial device called a dialyzer; that is a description of hemodialysis. CAPD uses the client's peritoneum as the filter to remove waste products and excess fluid.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Measuring blood pressure di?erences is not a method to assess the patency of an AV graft.
Choice B reason: Checking pulses is important but does not confirm the patency of the AV graft.
Choice C reason: Using a Doppler stethoscope at the antecubital fossa is not the standard method for assessing AV graft patency.
Choice D reason: Auscultating for a bruit at the site of the AV graft is a common and non-invasive way to assess for patency.
Correct Answer is B
Explanation
Choice A reason: A raised red rash is not typically indicative of venous insufficiency but could suggest an allergic reaction or infection.
Choice B reason: Coldness and numbness distal to the fistula site can indicate poor blood flow, which is a symptom of venous insufficiency.
Choice C reason: Pain proximal to the fistula site can be a sign of venous hypertension and insufficiency, as it may
indicate increased pressure in the veins.
Choice D reason: Foul-smelling drainage is not a typical sign of venous insufficiency but may indicate an infection.
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