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 B
Explanation
Choice A rationale
Mandatory reporters are legally and ethically obligated to report all suspected or known instances of child abuse or neglect, regardless of their medical training or personal discretion. The purpose of mandatory reporting laws is to ensure that all potential cases are investigated by appropriate authorities, as healthcare professionals are not tasked with making definitive legal judgments about abuse.
Choice B rationale
Mandatory reporters are legally and ethically bound to report any suspected or known instances of child abuse or neglect to the appropriate authorities. This obligation is a cornerstone of child protection, ensuring that children at risk receive necessary intervention and support. The reporting requirement overrides personal discretion to safeguard vulnerable individuals.
Choice C rationale
Mandatory reporting statutes typically encompass all forms of child abuse and neglect, including emotional and psychological abuse. These forms of abuse can be as detrimental to a child's development and well-being as physical abuse, leading to significant long-term psychological harm. Therefore, reporters are not exempt from reporting such cases.
Choice D rationale
Mandatory reporters have a legal and ethical responsibility to report suspected abuse or neglect, not to avoid it. Failing to report can result in legal penalties and, more importantly, can perpetuate harm to the victim. The intent of mandatory reporting laws is to create a safety net for vulnerable individuals by ensuring concerns are addressed by authorities.
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