What is the advantage of teaching to the family about continuous cycling peritoneal dialysis (CCPD) or continuous ambulatory peritoneal (CAPD) for adolescents who require dialysis?
Hospitalization is only required several nights per week
Adolescents can carry out procedures themselves
Dietary restrictions are no longer necessary
Insertion of a catheter does not require surgical placement
The Correct Answer is B
One of the advantages of CCPD and CAPD is that they allow for more flexibility and independence in performing peritoneal dialysis treatments, especially for older children and adolescents. With proper training and supervision, adolescents can learn to carry out many aspects of the dialysis procedure themselves, which can provide them with a greater sense of control and autonomy over their healthcare.
The other options are not accurate advantages of CCPD or CAPD:
A. Hospitalization is only required several nights per week: CCPD and CAPD are typically performed at home, and hospitalization is not required for routine treatments. However, regular clinic visits and follow-ups are still necessary.
C. Dietary restrictions are no longer necessary: Dietary restrictions may still be necessary for patients on peritoneal dialysis to manage their fluid and electrolyte balance. The extent of dietary restrictions can vary depending on the individual patient's needs.
D. Insertion of a catheter does not require surgical placement: The insertion of a peritoneal dialysis catheter does require a surgical procedure. The advantage of CCPD and CAPD is more related to the flexibility and independence of performing dialysis at home rather than the method of catheter insertion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Infants with congenital heart defects, including VSD, may have increased caloric needs due to the added work of their hearts. Congestive heart failure can lead to poor weight gain and failure to thrive. Therefore, increasing the caloric density of the formula is a common approach to providing the necessary nutrition for growth and development. This can be achieved by using specialized high-calorie infant formulas or fortifying breast milk.
The other options are not the primary supportive measures for an infant with congestive heart failure in this context:
B. Oxygen therapy to ensure oxygen saturation is > 98%: While oxygen therapy may be necessary for infants with congenital heart defects, it is not the primary supportive measure to address failure to thrive. Oxygen therapy primarily aims to ensure adequate oxygenation but does not directly address caloric intake.
C. Sedatives to keep the infant from crying: The use of sedatives is not a typical approach to managing congestive heart failure in infants. Addressing the underlying cause, optimizing nutrition, and providing supportive care are more appropriate strategies.
D. Emergent surgical correction of the defect: Surgical correction of a VSD is typically considered for specific indications, such as significant hemodynamic compromise, but it is not the first-line intervention for all cases of VSD, especially if the primary concern is failure to thrive. Treatment decisions for VSD are made based on the specific clinical presentation and severity of the defect.
Correct Answer is D
Explanation
Weight loss in a child with acute glomerulonephritis is often due to a reduction in edema (fluid retention and swelling). Acute glomerulonephritis can lead to significant edema, as the kidneys may not effectively filter excess fluid and waste products from the body. During hospitalization and treatment, interventions such as diuretics and improved kidney function may result in the gradual removal of excess fluid, leading to a decrease in edema and overall body weight.
The other options are less likely to be the primary cause of the weight loss:
A. Poor appetite: While acute glomerulonephritis can affect appetite, especially due to nausea or other symptoms, it is not typically the primary reason for significant weight loss over a short period.
B. Restriction to bed rest: While being on bed rest can lead to muscle atrophy and loss of lean body mass over an extended period, it is unlikely to result in an 8-pound weight loss in just 4 days unless there are additional factors at play.
C. Increased potassium intake: Increased potassium intake alone would not be a primary cause of significant weight loss. High potassium levels in the blood (hyperkalemia) can occur in kidney disease, but it is not typically associated with rapid weight loss.
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