A nurse is caring for a client who has progressing chronic kidney disease (CKD). Which of the following laboratory results would the nurse expect to find in the client's electronic health record?

Urine albumin increasing

Glomerular filtration rate (GFR) increasing

Creatinine decreasing

Proteinuria decreasing, or decreased protein in the urine

Answer and Explanation

The Correct Answer is A

Choice A reason: As CKD progresses, the kidneys' ability to filter blood decreases, leading to an increase in urine albumin, a sign of kidney damage.

Choice B reason: GFR would decrease, not increase, as CKD progresses because the kidneys' filtering capacity diminishes.

Choice C reason: Creatinine levels would increase, not decrease, as kidney function worsens in CKD.

Choice D reason: Proteinuria would increase, not decrease, as CKD progresses due to the kidneys' impaired filtering

ability

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Correct Answer is D

Explanation

Choice A reason: Blood-tinged dialysate outflow can occur initially due to the surgical procedure and is not typically a cause for immediate concern unless it persists or is accompanied by other symptoms.

Choice B reason: Dialysate leakage during inflow might indicate a problem with the catheter placement or integrity but is not usually an emergency. It should be monitored and reported if it continues.

Choice C reason: Discomfort during dialysate inflow is common, especially in new patients, as they adjust to the sensation of fluid being infused. It should be reported if the discomfort is severe or persistent.

Choice D reason: Purulent dialysate outflow indicates an infection, such as peritonitis, which is a serious complication

of peritoneal dialysis. This requires immediate atention and intervention by the healthcare provider.

A. "I must wash my hands every time before I connect the tubing to the catheter in my stomach." B. "I will lay down for 4 to 6 hours every time the new solution is dwelling in my peritoneal cavity." C. "I will weigh myself daily and keep track of my weight in my dialysis record." D. "I will complete the instillation of fluid once a day at bedtime." E. "I will check my blood pressure and follow the instructions related to changes I might need to do based on the results."

Correct Answer is ["A","C","E"]

Explanation

Choice A reason: Proper hand hygiene is essential before connecting the tubing to the catheter to prevent infections, which is a key component of CAPD management.

Choice B reason: There is no requirement to lay down while the dialysis solution dwells in the peritoneal cavity. Patients can move around and continue with their daily activities.

Choice C reason: Regularly weighing oneself is important to monitor fluid balance and the effectiveness of the dialysis, making it a crucial part of home dialysis management.

Choice D reason: CAPD typically involves multiple exchanges throughout the day, not just one instillation at bedtime.

Choice E reason: Monitoring blood pressure is important for managing fluid balance and cardiovascular health in patients on dialysis.

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A nurse is caring for a client who has progressing chronic kidney disease (CKD). Which of the following laboratory results would the nurse expect to find in the client's electronic health record?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is undergoing initial peritoneal dialysis. Which of the following should the nursereport immediately to the provider?

Correct Answer is D

Explanation

A nurse is providing discharge teaching to a client who will be performing continuous ambulatory peritoneal dialysis (CAPD) at home. Which of the following statements from the client indicates an understanding of this type of dialysis management? (Select all that apply)

Correct Answer is ["A","C","E"]

Explanation

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