A patient with chronic renal failure is to begin renal dialysis treatment and asks for advice about which type of dialysis would be best. The patient is considering peritoneal dialysis because it is less expensive and has fewer dietary and fluid restrictions. What is the most accurate information for the nurse to provide about peritoneal dialysis?
It gives more independence and more closely resembles normal kidney function.
It has literally no drawbacks.
It usually does not work very well and has many complications, such as a high blood sugar level.
It is a lot more work than hemodialysis, in which the health care staff takes care of everything.
The Correct Answer is A
A. It gives more independence and more closely resembles normal kidney function: Peritoneal dialysis allows patients to manage treatment at home, providing more flexibility and independence, and it mimics the kidney's natural filtration process.
B. It has literally no drawbacks: While peritoneal dialysis has benefits, potential complications include peritonitis, catheter infections, and hyperglycemia from the dialysis solution.
C. It usually does not work very well and has many complications, such as a high blood sugar level: While hyperglycemia can occur, this exaggerates the risks and misrepresents the effectiveness of peritoneal dialysis.
D. It is a lot more work than hemodialysis, in which the health care staff takes care of everything: While it requires self-management, the workload depends on individual circumstances and training.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Childhood disease of mumps: Mumps does not typically result in glomerulonephritis.
B. Frequent cystitis: Cystitis affects the bladder and does not lead to glomerulonephritis.
C. Recent wound infection: While infections can cause systemic inflammation, glomerulonephritis is commonly linked to streptococcal infections.
D. Streptococcal infection: Acute post-streptococcal glomerulonephritis is an immune response following a group A streptococcal infection.
Correct Answer is C
Explanation
A. Pyuria: Pyuria (pus in the urine) is a sign of UTI but is not the most common symptom in the elderly.
B. Hematuria: Blood in the urine may occur but is not as common in the elderly as confusion.
C. Confusion: In elderly patients, confusion or altered mental status is often the first and most prominent sign of a UTI due to their atypical presentation of infections.
D. Dysuria: Painful urination is a classic symptom of UTI but may not be as apparent in elderly patients as confusion.
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