Which of the following is a potential side effect of peritoneal dialysis?

Decreased blood glucose levels

Increased urine output

Hypertension

Abdominal pain

Answer and Explanation

The Correct Answer is D

Choice a reason: Decreased blood glucose levels are not a common side effect of peritoneal dialysis. While blood glucose monitoring is important for clients undergoing dialysis, particularly those with diabetes, peritoneal dialysis typically does not lead to hypoglycemia. In fact, the dialysis solution used often contains glucose, which can actually increase blood glucose levels.
Choice b reason: Increased urine output is not a side effect associated with peritoneal dialysis. Many clients with end-stage renal disease have reduced urine output due to declining kidney function. Peritoneal dialysis helps to remove waste products and excess fluid from the body, but it does not typically result in increased urine production.
Choice c reason: Hypertension is not directly caused by peritoneal dialysis. While blood pressure management is crucial for clients with chronic kidney disease, the dialysis process itself does not inherently lead to hypertension. Other factors, such as fluid overload or underlying medical conditions, are more likely to contribute to high blood pressure in these clients.
Choice d reason: Abdominal pain is a potential side effect of peritoneal dialysis. The dialysis process involves the infusion of dialysis solution into the peritoneal cavity, which can cause discomfort or pain in some clients. This pain may be due to the catheter, the volume of fluid, or irritation of the peritoneal lining. Proper technique and monitoring can help manage and minimize this discomfort.

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Correct Answer is A

Explanation

Choice a reason: The patient who has an indwelling catheter for a urinary tract infection (UTI) is at the highest risk of developing urosepsis. Indwelling catheters provide a direct pathway for bacteria to enter the urinary tract, leading to infections that can escalate to sepsis. Monitoring this patient closely for signs of urosepsis, such as fever, chills, altered mental status, and increased heart rate, is crucial to ensure early detection and intervention.
Choice b reason: While the patient who is unable to obtain fluids independently is at risk for dehydration, which can lead to urinary tract infections, the immediate risk of urosepsis is lower compared to a patient with an indwelling catheter. Ensuring adequate fluid intake is important, but this condition does not present the same direct risk of bacterial entry into the urinary system as an indwelling catheter does.
Choice c reason: The patient who has undergone surgery for placement of an ileostomy does not have a direct connection to the urinary system that would increase the risk of urosepsis. While this patient might require monitoring for postoperative complications and hydration status, the focus is not specifically on urosepsis.
Choice d reason: The patient with continuous urinary incontinence is at risk for skin breakdown and potential urinary tract infections due to constant moisture and bacteria in contact with the skin. However, the risk of urosepsis is not as immediate or direct as it is with an indwelling catheter. Regular skin care and monitoring for signs of infection are necessary, but the focus on urosepsis is less urgent than for a patient with a catheter.

A. Take patient's blood pressure B. Call the physician C. Apply pressure to access site D. Notify the dialysis nurse

Correct Answer is C

Explanation

Choice a reason: Taking the patient's blood pressure is not the first action to take in this situation. While monitoring vital signs is important, the immediate priority is to stop the bleeding. Addressing the bleeding at the access site takes precedence to prevent excessive blood loss and potential complications.
Choice b reason: Calling the physician is not the first action to take when the nurse notes bleeding from the vascular access site. While notifying the physician is important, the initial step must be to control the bleeding to ensure the patient's safety and stability.
Choice c reason: Applying pressure to the access site is the appropriate first action. This step is crucial to stop the bleeding and prevent further blood loss. Applying direct pressure helps to control the bleeding immediately, which is the primary concern in this situation. Once the bleeding is controlled, further actions such as notifying the physician and documenting the incident can be taken.
Choice d reason: Notifying the dialysis nurse is also not the first action to take. While it is important to inform the dialysis nurse and other members of the healthcare team, the priority is to control the bleeding by applying pressure to the access site. Once the bleeding is under control, the dialysis nurse can be notified to ensure proper follow-up and care.

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Which of the following is a potential side effect of peritoneal dialysis?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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