The nurse is visiting a patient who performs peritoneal dialysis at home. The nurse is evaluating the patient's technique. Which finding requires additional teaching?

The patient uses clean technique when instilling the dialysate

The patient performs exchanges on a table with a sterile drape

The patient verbally expresses symptoms to report to the HCP

The patient washes their hands before beginning

Answer and Explanation

The Correct Answer is A

Choice a reason: The patient uses clean technique when instilling the dialysate is incorrect and requires additional teaching. Peritoneal dialysis requires sterile technique to prevent infection. Using a clean technique, which is less rigorous than sterile technique, increases the risk of introducing pathogens into the peritoneal cavity. Proper sterile technique involves meticulous hand hygiene, using sterile gloves, and ensuring all equipment and supplies are sterile.
Choice b reason: The patient performs exchanges on a table with a sterile drape is appropriate. Using a sterile drape helps maintain a sterile field and reduces the risk of contamination during the dialysis procedure. This practice is an important part of sterile technique and helps ensure the patient's safety.
Choice c reason: The patient verbally expresses symptoms to report to the HCP is a positive behavior. Being aware of and communicating symptoms that may indicate complications, such as signs of infection or peritonitis, is crucial for timely intervention and management. This practice shows the patient is knowledgeable about monitoring their health and knowing when to seek professional help.
Choice d reason: The patient washes their hands before beginning is an essential step in both clean and sterile techniques. Proper hand hygiene is critical in preventing the spread of infection and is a fundamental practice in peritoneal dialysis. Washing hands thoroughly before starting the procedure helps minimize the risk of contamination.

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Correct Answer is C

Explanation

Choice a reason: Encouraging fluid intake to increase urine output is not an appropriate intervention for managing urinary incontinence. While staying hydrated is important, increasing urine output can worsen incontinence symptoms. Clients should maintain a balanced fluid intake to prevent dehydration without exacerbating incontinence.
Choice b reason: Providing frequent reminders for the client to use the restroom is helpful for managing urinary incontinence. This intervention helps establish a regular voiding schedule, reducing the likelihood of accidents by encouraging the client to empty their bladder before it becomes too full.
Choice c reason: Encouraging the client to perform Kegel exercises regularly is highly effective for managing urinary incontinence. Kegel exercises strengthen the pelvic floor muscles, which support the bladder and urethra, improving control over urination and reducing episodes of incontinence. Regular practice of these exercises can lead to significant improvements in bladder control.
Choice d reason: Limiting the client's access to the restroom to promote bladder control is not appropriate. This approach can increase the risk of accidents and cause discomfort. Instead, clients should have easy access to the restroom to manage their incontinence effectively. Promoting regular restroom use and bladder training techniques is more beneficial.

A. Gelatin dessert B. Nectarine C. Banana D. Cranberry juice E. Clear carbonated beverage

Correct Answer is ["A","D","E"]

Explanation

Choice a reason: Gelatin dessert is a low-potassium option that is safe for a client with elevated potassium levels. It provides a tasty snack without contributing to the potassium load, making it suitable for clients on a potassium-restricted diet due to chronic kidney disease (CKD).
Choice b reason: Nectarines are high in potassium and should be avoided by clients with elevated potassium levels. Consuming nectarines can further increase serum potassium levels, which is dangerous for individuals with CKD and can lead to hyperkalemia, a potentially life-threatening condition.
Choice c reason: Bananas are well-known for their high potassium content and should not be given to clients with elevated potassium levels. Similar to nectarines, bananas can exacerbate hyperkalemia, making them unsuitable for individuals with CKD on hemodialysis.
Choice d reason: Cranberry juice is a low-potassium beverage and a safe choice for clients with elevated potassium levels. It can be a refreshing and hydrating option without adding to the potassium burden, making it appropriate for those on a restricted potassium diet.
Choice e reason: Clear carbonated beverages generally contain little to no potassium, making them a suitable choice for clients with elevated potassium levels. These beverages provide hydration and a flavorful alternative without the risk of increasing serum potassium levels.

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The nurse is visiting a patient who performs peritoneal dialysis at home. The nurse is evaluating the patient's technique. Which finding requires additional teaching?

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Naxlex Comprehensive Predictor Exams

Which of the following nursing interventions is appropriate for managing urinary incontinence?

Correct Answer is C

Explanation

A client with CKD who is on hemodialysis asks for a snack in the afternoon. The patient's potassium level is elevated. Which of the following foods could be given? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

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