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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: Multiple sclerosis can affect the nerves that control the bladder and sphincter muscles, leading to urinary retention.
Choice B reason: Streptococcal infection is not typically associated with urinary retention unless it specifically affects the urinary tract, which is not common.
Choice C reason: Constipation can cause urinary retention by exerting pressure on the bladder or urethra, obstructing the flow of urine.
Choice D reason: Parkinson's disease can lead to urinary retention due to the impairment of nerve signals that
control the bladder.
Choice E reason: Pelvic organ prolapse can obstruct the urethra, leading to difficulty in emptying the bladder and resulting in urinary retention.
Correct Answer is ["B","D","E","F"]
Explanation
Choice A reason: Frothy urine is not a typical symptom of pyelonephritis; it is more associated with proteinuria or nephrotic syndrome.
Choice B reason: Lower abdominal pain can be a symptom of pyelonephritis due to in?ammation and infection in the kidneys.
Choice C reason: Hypertension is not a direct symptom of pyelonephritis, although it can be associated with chronic kidney disease.
Choice D reason: A fish-type urine odor can be present in pyelonephritis due to the presence of bacteria.
Choice E reason: Mental confusion can occur, especially in severe cases or in elderly patients with pyelonephritis.
Choice F reason: A weak urine stream may be present if there is swelling or obstruction in the urinary tract due to infection.
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