A client with end-stage renal disease is receiving peritoneal dialysis.
Which of the following actions should the nurse take to prevent infection?
Administering antibiotics prophylactically.
Performing hand hygiene before and after handling the dialysis equipment.
Allowing the client to handle the dialysis equipment independently.
Discontinuing the peritoneal dialysis if the client develops a fever.
The Correct Answer is B
Performing hand hygiene before and after handling the dialysis equipment is essential to prevent infection in peritoneal dialysis.
Hand washing and appropriate use of a mask can help avoid peritonitis, which is a serious complication of peritoneal dialysis.
Choice A is wrong because administering antibiotics prophylactically is not recommended for peritoneal dialysis patients, as it can increase the risk of antibiotic resistance and adverse effects.
Choice C is wrong because allowing the client to handle the dialysis equipment independently may increase the risk of contamination and infection.
The client should be supervised and instructed by a nurse on how to use sterile technique when connecting and disconnecting the transfer set.
Choice D is wrong because discontinuing the peritoneal dialysis if the client develops a fever may worsen the client’s condition and lead to fluid overload and electrolyte imbalance.
The client should be evaluated for signs of infection and treated accordingly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Acute renal injury (ARI) is a term for a reversible syndrome that results in decreased glomerular filtration rate (GFR) and oliguria. GFR is a measure of how well the kidneys filter blood and oliguria is a condition of producing less than normal amounts of urine.
Choice B is wrong because chronic renal injury (CRI) is not a reversible syndrome, but a progressive loss of kidney function over months or years.
Choice C is wrong because end-stage renal disease (ESRD) is not a reversible syndrome, but a condition where the kidneys have lost most or all of their function and dialysis or transplantation is required.
Choice D is wrong because acute tubular necrosis (ATN) is not a term for a syndrome, but a specific type of acute kidney injury that involves damage to the tubules, the part of the nephron that reabsorbs water and solutes from the filtrate.
Correct Answer is A
Explanation
This is because hemodialysis removes excess fluid and waste products from the blood, but it also removes some electrolytes, such as potassium.
Potassium is important for nerve and muscle function, especially the heart.
If potassium levels are too high or too low, it can cause irregular heartbeat or cardiac arrest.
Choice B is wrong because hypokalemia means low potassium levels, which is unlikely in renal failure unless there is excessive potassium loss from diarrhea, vomiting or diuretics.
Choice C is wrong because hyponatremia means low sodium levels, which can occur in renal failure due to fluid retention, but it is not directly related to hemodialysis.
Choice D is wrong because hypernatremia means high sodium levels, which can occur in renal failure due to reduced urine output, but it is also not directly related to hemodialysis.
Normal ranges for electrolytes are: Potassium: 3.5 to 5.0 mmol/L
Sodium: 135 to 145 mmol/L
Calcium: 8.5 to 10.5 mg/dL
Chloride: 96 to 106 mmol/L
Magnesium: 1.7 to 2.2 mg/dL
Phosphate: 2.5 to 4.5 mg/dL
Bicarbonate: 22 to 29 mmol/L
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