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 C
Explanation
A urinary tract infection (UTI) is a common complication after bladder cancer surgery, especially if the patient has an indwelling urinary catheter.
A UTI can cause symptoms such as fever, pain, burning or urgency when urinating, blood in the urine, or cloudy or foul-smelling urine.
Choice A is wrong because urinary retention (the inability to empty the bladder completely) is unlikely to occur with an indwelling catheter, which drains urine continuously.
Choice B is wrong because urinary incontinence (the loss of bladder control) is more likely to occur after partial or radical cystectomy, which remove part or all of the bladder, respectively.
In these cases, reconstructive surgery is needed to create a new way for urine to leave the body.
Choice D is wrong because urinary urgency (the sudden and strong need to urinate) is also more likely to occur after partial or radical cystectomy, which can affect the nerves and muscles that control urination.
Urinary urgency can also be a symptom of a UTI, but it’s not the only one.
Correct Answer is C
Explanation
Dysuria, which means pain or a burning sensation when peeing, is a common symptom of urinary tract infection (UTI).
UTIs are caused by bacteria entering the urinary tract through the urethra and spreading to the bladder or kidneys.
Choice A is wrong because nausea is not a specific symptom of UTI, although it may occur if the infection spreads to the kidneys.
Choice B is wrong because diarrhea is not a symptom of UTI, but rather a condition that affects the digestive system.
Choice D is wrong because constipation is also not a symptom of UTI, but a problem with bowel movements.
Normal ranges for urine tests vary depending on the type of test and the laboratory that performs it.
However, some general ranges are:
Specific gravity: 1.005 to 1.030
pH: 4.6 to 8.0
Protein: less than 150 mg/dL Glucose: less than 130 mg/dL Ketones: none
Blood: none Nitrites: none
Leukocyte esterase: none Bacteria: none or few
White blood cells: less than 5 per high-power field Red blood cells: less than 3 per high-power field Epithelial cells: few
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