Which of the following is a potential complication of peritoneal dialysis?
Hypertension.
Hyperglycemia.
Peritonitis.
Hypokalemia.
The Correct Answer is C
Choice A rationale
Hypertension is less likely to be a direct complication of peritoneal dialysis. In fact, effective peritoneal dialysis can help manage fluid balance and remove excess sodium, which can contribute to better blood pressure control in individuals with kidney failure. The process aims to remove solutes and water, often mitigating hypertensive states.
Choice B rationale
Hyperglycemia can be a complication of peritoneal dialysis due to the high dextrose concentration in the dialysate solution. Dextrose, a type of sugar, is used as an osmotic agent to draw excess fluid and waste products from the blood into the peritoneal cavity. This can lead to increased glucose absorption into the bloodstream.
Choice C rationale
Peritonitis, an inflammation of the peritoneum, is the most common and serious complication of peritoneal dialysis. It occurs due to bacterial or fungal contamination of the peritoneal cavity, often introduced during catheter manipulation or connection. Symptoms include abdominal pain, cloudy dialysate, and fever, requiring prompt antibiotic treatment.
Choice D rationale
Hypokalemia is generally not a common complication of peritoneal dialysis. The dialysate solution typically contains potassium or is potassium-free, allowing for controlled removal of potassium from the body. However, significant potassium imbalances are usually managed by adjusting the dialysate composition rather than being a frequent, inherent complication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["42"]
Explanation
Step 1 is: Calculate the safe maximum dosage per day for the child. 7 mg/kg/day × 6 kg = 42 mg/day. The safe maximum dosage per day for this child is 42 mg.
Correct Answer is C
Explanation
Choice A rationale
Beneficence is an ethical principle that obligates healthcare providers to act in the best interest of their patients. This involves performing actions that promote good and prevent harm, often encompassing preventative care, health promotion, and the provision of treatments that improve a patient's well-being. It is a proactive stance aimed at positive outcomes.
Choice B rationale
Justice in healthcare refers to the fair and equitable distribution of resources and access to care. It ensures that all individuals receive treatment without discrimination based on socioeconomic status, race, or other factors. This principle often guides decisions about resource allocation and public health policies to ensure fairness for all.
Choice C rationale
Nonmaleficence is a foundational ethical principle stating that healthcare professionals must avoid causing harm to their patients. This includes both intentional harm and unintentional harm due to negligence or lack of skill. It emphasizes the duty to protect patients from foreseeable risks and ensures that interventions do not worsen their condition.
Choice D rationale
Fidelity is the ethical principle that emphasizes loyalty, trustworthiness, and faithfulness to commitments made to patients. This includes maintaining confidentiality, honoring promises, and being true to one's professional responsibilities. It builds trust in the patient-provider relationship, which is crucial for effective care.
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