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","B","D","E","F"]

Explanation

Choice A reason: A WBC count can help determine the presence of infection.

Choice B reason: Blood cultures may be ordered if there is a concern for a systemic infection or sepsis.

Choice C reason: Foley catheter placement is not typically indicated for UTI and can increase the risk of infection.

Choice D reason: A broad-spectrum antibiotic may be prescribed to treat the suspected UTI until specific causative bacteria are identified.

Choice E reason: IV fluids may be administered to ensure hydration, especially if the client is unable to maintain adequate oral intake due to nausea or vomiting.

Choice F reason: A clean-catch urinalysis and urine culture are essential to identify the specific bacteria causing the UTI and to determine the appropriate antibiotic therapy.

A. "I get such back pain with these urine infections. It hurts so bad." B. "When I have one of these infections, I can't go to my grandkids' school activities like I normally do." C. "I have to be close to a bathroom no mater where I am when I have this infection." D. "Sometimes I get so nauseated and start throwing up and can't even keep water down."

Correct Answer is B

Explanation

Choice A reason: Back pain is a physical symptom of UTIs, not a psychosocial effect.

Choice B reason: Missing out on normal social activities like atending grandchildren's school events indicates a psychosocial impact from frequent UTIs.

Choice C reason: Needing to be close to a bathroom is a practical concern due to the physical symptoms of UTIs, not a psychosocial effect.

Choice D reason: Nausea and vomiting are physical symptoms of UTIs and do not directly indicate a psychosocial effect.

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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 client in a clinic who has foul-smelling urine, a low-grade fever of 37.7°C (100°F), and pain with urination. Which of the following should the nurse expect the health care provider to order? (Select all that apply.)

Correct Answer is ["A","B","D","E","F"]

Explanation

A nurse is caring for a client admited for pyelonephritis. The client's history includes frequent urinary tract infections (UTI). Which of the following statements by the client indicates that they are su?ering from a psychosocial effect from frequent UTIs?

Correct Answer is B

Explanation

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