A nurse is developing a plan of care for a client who is to begin receiving peritoneal dialysis. Which of the following interventions should the nurse implement to ensure proper dialysate exchange?
Maintain the client in a left lateral position during dialysis.
Monitor vital signs every 2 hours during the procedure.
Warm the dialysate solution prior to instillation.
Place the drainage bag above the level of the client's abdomen.
The Correct Answer is C
Choice A reason: Maintaining the client in a left lateral position is not specifically required for peritoneal dialysis. Positioning may vary based on the individual's comfort and specific medical needs.
Choice B reason: While monitoring vital signs is important during any medical procedure, it is not an intervention that directly ensures proper dialysate exchange in peritoneal dialysis.
Choice C reason: Warming the dialysate solution prior to instillation is a standard practice in peritoneal dialysis. It helps to promote patient comfort and more efficient exchange of wastes and fluids.
Choice D reason: Placing the drainage bag above the level of the client's abdomen would impede gravity drainage, which is necessary for proper dialysate exchange. The drainage bag should be placed below the level of the client's abdomen.
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Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Step 1: The total amount of diphenhydramine required per dose is 50 mg.
Step 2: Each tablet contains 25 mg of diphenhydramine.
Step 3: To find out how many tablets are needed, we divide the total amount required by the amount in each tablet. So, 50 mg ÷ 25 mg/tablet.
Step 4: The result is 2 tablets.
So, the nurse should administer 2 tablets per dose. This is already a whole number, so no rounding is necessary.
Correct Answer is D
Explanation
Choice A reason: A hemoglobin level of 16 g/dL is within the normal range and does not indicate acute kidney injury.
Choice B reason: A BUN level of 15 mg/dL is also within the normal range and does not suggest acute kidney injury.
Choice C reason: A serum potassium level of 4.5 mEq/L is within the normal range and is not indicative of acute kidney injury.
Choice D reason: A serum creatinine level of 6 mg/dL is significantly elevated and indicates impaired kidney function, which is a hallmark of acute kidney injury.
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