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.

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A reason: General anesthesia can impair the autonomic nervous system, which controls bladder function, leading to urinary retention. This risk is particularly high shortly after surgery.

Choice B reason: While liver failure can lead to multiple organ dysfunction, it is not directly associated with urinary retention unless there are concurrent issues affecting the urinary system.

Choice C reason: A diet high in calcium oxalate can contribute to kidney stones, which could potentially cause urinary obstruction, but it is not a direct cause of urinary retention.

Choice D reason: Antibiotics for a skin infection would not typically lead to urinary retention unless there were an allergic reaction or other rare side effects that affect the urinary system.

A. Asparagus B. Raisins C. Bananas D. Tomatoes E. Green Beans

Correct Answer is ["B","C","D"]

Explanation

Choice A reason: Asparagus is not typically high in potassium and does not need to be avoided by clients with chronic

kidney disease.

Choice B reason: Raisins are high in potassium and should be avoided by clients with chronic kidney disease to prevent hyperkalemia.

Choice C reason: Bananas are known to be high in potassium and should be limited or avoided in clients with chronic kidney disease.

Choice D reason: Tomatoes and tomato products are high in potassium and should be avoided to maintain safe

potassium levels.

Choice E reason: Green beans are not considered high in potassium and do not typically need to be avoided by clients with chronic kidney disease.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of clients on a medical-surgical unit. Which of the following clients is at greatest risk for urinary retention?

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Explanation

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Correct Answer is ["B","C","D"]

Explanation

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