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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Related Questions
Correct Answer is ["B","D","E"]
Explanation
Choice A reason: Driving restrictions are not typically necessary for clients on hemodialysis unless there are other underlying conditions affecting their ability to drive safely.
Choice B reason: Clients on hemodialysis need to restrict foods high in potassium, sodium, and phosphorus to manage their electrolyte levels and prevent complications.
Choice C reason: Airplane travel is not generally restricted for hemodialysis clients, but they may need to arrange for dialysis at their destination.
Choice D reason: Time constraints are a significant factor as hemodialysis requires several hours per session, multiple times a week.
Choice E reason: Fluid intake often needs to be restricted in clients on hemodialysis to prevent fluid overload, as the kidneys are not able to remove excess fluid effectively.
Choice F reason: Limiting social activities is not a necessary restriction unless it is related to the client's overall health status.
Correct Answer is B
Explanation
Choice A reason: While a low-protein diet can help manage electrolyte imbalances, it is not specifically targeted at reducing the risk for hyperkalemia. Hyperkalemia is more directly managed by restricting foods high in potassium.
Choice B reason: A low-protein diet helps reduce the risk for uremia, which is the accumulation of waste products in the blood due to impaired kidney function. By consuming less protein, there is less urea and other nitrogenous wastes for the kidneys to filter, which can help delay the progression of kidney disease.
Choice C reason: Edema is related to fluid retention and not directly to protein intake. A low-protein diet does not specifically reduce the risk for edema unless it is associated with kidney dysfunction affecting fluid balance.
Choice D reason: A low-protein diet will indeed decrease the amount of nitrogenous waste in the blood because less protein breakdown means less waste for the kidneys to remove. However, this choice is less specific than Choice B, which directly addresses the condition of uremia that is a concern for patients with chronic kidney failure.
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