A client with chronic kidney disease on peritoneal dialysis exhibits redness, tenderness, and drainage around the catheter site on the abdominal wall. While planning care, the nurse is most concerned about preventing which complication related to these findings?

Outflow obstruction.

Exit site infection.

Atelectasis

Peritonitis.

Answer and Explanation

The Correct Answer is B

B. Redness, tenderness, and drainage around the catheter site are classic signs of an exit site infection in peritoneal dialysis. Exit site infections are a common complication of peritoneal dialysis and can lead to more serious complications, such as peritonitis, if not promptly treated. Preventing exit site infections through proper catheter care and hygiene is essential in peritoneal dialysis management.
A. While outflow obstruction can occur in peritoneal dialysis, it typically presents with symptoms such as poor drainage of dialysate fluid, abdominal discomfort, and a decrease in dialysis efficiency. The described findings of redness, tenderness, and drainage around the catheter site are more indicative of a localized issue rather than outflow obstruction.
C. Atelectasis refers to the collapse of a part or the entire lung. While it can occur in hospitalized patients, especially those with underlying respiratory conditions, the described findings are not indicative of atelectasis. Atelectasis typically presents with symptoms such as dyspnea, cough, and decreased breath sounds on auscultation.
D. Peritonitis is a severe complication of peritoneal dialysis characterized by inflammation and infection of the peritoneal lining. While redness, tenderness, and drainage around the catheter site may precede peritonitis, the focus of concern in this scenario is primarily on preventing exit site infection, which, if left untreated, can progress to peritonitis.

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Free Nursing Study Resources

Correct Answer is D

Explanation

D. Swimming is a low-impact exercise that is gentle on the joints and can provide numerous benefits for individuals with osteoarthritis. The buoyancy of water reduces stress on the joints while allowing for a full range of motion, making swimming an ideal exercise for improving joint flexibility, muscle strength, and cardiovascular fitness without exacerbating symptoms of osteoarthritis. Additionally, swimming can help relieve joint pain and stiffness and improve overall physical function in older adults with osteoarthritis.
A. Jogging or running can place significant stress on the joints, particularly the knees and hips, which may exacerbate symptoms of osteoarthritis and increase the risk of joint injury. High- impact activities like jogging or running are generally not recommended for individuals with osteoarthritis, especially in weight-bearing joints.
B. While engaging in daily activities can provide some level of physical activity, it may not be sufficient for managing osteoarthritis symptoms or improving joint function. Older adults with osteoarthritis can benefit from structured exercise programs tailored to their needs, which may include a variety of exercises aimed at improving joint flexibility, strength, and overall physical function.
C. Tennis or racquetball are high-impact sports that involve repetitive movements and may exacerbate joint pain and stiffness in individuals with osteoarthritis, particularly in the wrists, elbows, and shoulders. Engaging in these activities can increase the risk of joint injury and may not be suitable for older adults with osteoarthritis.

A. Loose bowel movements. B. Occult positive emesis. C. Strong foul smelling flatus. D. Report of poor night vision.

Correct Answer is B

Explanation

B. Occult positive emesis refers to vomiting that occurs without the client's awareness, meaning that the vomitus may not be easily visible or readily apparent. Vomiting can lead to significant fluid loss and dehydration, which is particularly concerning in a client who has undergone a biliopancreatic diversion procedure (BDP).
A. Loose bowel movements may indicate gastrointestinal disturbances or malabsorption issues commonly seen after biliopancreatic diversion procedure (BDP). BDP involves rerouting a significant portion of the small intestine, which can affect digestion and absorption of nutrients and fluids.
C. Strong foul-smelling flatus may indicate bacterial overgrowth or malabsorption issues in the gastrointestinal tract, which can occur after BDP. While foul-smelling flatus can be uncomfortable and indicative of gastrointestinal disturbances, it may not require immediate intervention.
D. Poor night vision may suggest vitamin deficiencies, particularly deficiencies in fat-soluble vitamins such as vitamin A, which can occur after BDP due to reduced absorption of nutrients. While poor night vision should be addressed to prevent long-term complications, it may not pose an immediate threat to the client's health.

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A client with chronic kidney disease on peritoneal dialysis exhibits redness, tenderness, and drainage around the catheter site on the abdominal wall. While planning care, the nurse is most concerned about preventing which complication related to these findings?

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