A nurse is caring for a client with end-stage renal disease (ESRD) who is starting peritoneal dialysis. The client expresses concerns about the impact on their daily activities. Which of the following responses by the nurse is appropriate?

"Peritoneal dialysis will require you to stay in the hospital

"You will need to limit your daily activities and avoid any physical exertion."

"Peritoneal dialysis will allow you to perform your daily activities at home."

"You will need to attend dialysis sessions at the outpatient clinic every day."

for an extended period."

Answer and Explanation

The Correct Answer is C

A) This statement is incorrect. Peritoneal dialysis does not require extended hospital stays, as it can be performed at home.

B) This statement is incorrect. While some modifications to daily activities may be necessary, peritoneal dialysis does not generally require clients to limit their daily activities or avoid physical exertion.

C) This statement is accurate. Peritoneal dialysis is a form of dialysis that can be performed by the client at home, allowing them to continue with their daily activities without the need for hospitalization or daily clinic visits.

D) This statement is incorrect. Peritoneal dialysis is performed by the client at home, not at the outpatient clinic every day. The client may visit the clinic for periodic follow-up and assessment, but the actual dialysis is performed at home.

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Correct Answer is A

Explanation

A) This statement is accurate. Hypertonic dialysate has a higher concentration of glucose, which results in increased fluid removal from the client's peritoneal cavity. This type of dialysate is often used for more effective ultrafiltration.

B) This statement is incorrect. Infusing hypertonic dialysate does not result in decreased urine output. Peritoneal dialysis is a process of exchanging fluids and waste products through the peritoneal membrane, but it does not directly affect urine production.

C) This statement is incorrect. Infusing hypertonic dialysate would not lead to hydration overload, as it causes fluid to be removed from the body.

D) This statement is incorrect. Hypertonic dialysate would not cause hypotension. In fact, it may lead to a decrease in blood pressure due to fluid removal, but it would not be considered a primary cause of hypotension.

A. Hypertension B. Hypercalcemia C. Hyperkalemia D. Hypokalemia

Correct Answer is C

Explanation

A) This statement is incorrect. Hypertension (high blood pressure) is a common complication of kidney disease, but it is not the primary indication for initiating dialysis. Dialysis is primarily indicated to address the impaired filtration and waste removal functions of the kidneys, which can lead to electrolyte imbalances like hyperkalemia.

B) This statement is incorrect. Hypercalcemia (elevated calcium levels) is not a primary indication for initiating dialysis. While calcium imbalances can be associated with kidney disease, hyperkalemia takes precedence as a more critical indication for dialysis initiation.

C) This statement is accurate. Hyperkalemia (elevated potassium levels) is a critical indication for initiating dialysis. Dialysis helps remove excess potassium from the bloodstream when the kidneys are unable to do so, preventing potentially life-threatening complications.

D) This statement is incorrect. Hypokalemia (low potassium levels) is not an indication for initiating dialysis. In fact, dialysis may lead to a reduction in potassium levels, and clients on dialysis are more likely to experience hyperkalemia.

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A nurse is caring for a client with end-stage renal disease (ESRD) who is starting peritoneal dialysis. The client expresses concerns about the impact on their daily activities. Which of the following responses by the nurse is appropriate?

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Naxlex Comprehensive Predictor Exams

A client on peritoneal dialysis has a prescription for hypertonic dialysate. Which of the following findings should the nurse expect during the infusion of hypertonic dialysate?

Correct Answer is A

Explanation

A nurse is caring for a client with end-stage renal disease (ESRD). The client's blood work shows elevated levels of creatinine, blood urea nitrogen (BUN), and potassium. Which of the following conditions is the primary indication for initiating dialysis?

Correct Answer is C

Explanation

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