A nurse is preparing to administer peritoneal dialysis to a client. Which of the following actions should the nurse take?

Hang the drainage bag below the client's abdomen.

Use clean technique to access the catheter.

Place the client in high-Fowler's position.

Chill the dialysate before administration.

Answer and Explanation

The Correct Answer is A

The nurse should hang the drainage bag below the level of the client's abdomen to facilitate gravity drainage of fluid and waste products from the peritoneal cavity. The other options are incorrect because they may cause discomfort, infection, or inadequate dialysis.

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Correct Answer is A

Explanation

A halo device is a type of external fixation device that immobilizes the cervical spine after an injury or surgery. The device consists of a metal ring attached to four metal rods that are secured to a vest worn by the client. The device limits the movement of the head and neck, which can impair the client's ability to drive safely. The nurse should clarify with the provider if the client can operate a motor vehicle while wearing the halo device, as this may pose a risk for injury to the client and others on the road.

Placing a small pillow under the head when sleeping, increasing intake of fiber-rich foods, and taking tub baths instead of showers are all appropriate instructions for a client with a halo device

A. Instruct the client to avoid eating raw fruit. B. Use contact isolation while providing care. C. Apply pressure to venipuncture sites for 10 min. D. Move the client to a negative pressure room.

Correct Answer is A

Explanation

The client has neutropenia, which is a low number of neutrophils, a type of white blood cell that fights infection. The client is at risk for developing infections from bacteria and fungi that are normally present in the environment. Raw fruits may contain these microorganisms and should be avoided.

Contact isolation is not necessary for neutropenic clients, unless they have an active infection. Applying pressure to venipuncture sites for 10 min is a standard precaution for all clients, not specific to neutropenic clients. Moving the client to a negative pressure room is indicated for clients with airborne infections, not neutropenic clients.

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A nurse is preparing to administer peritoneal dialysis to a client. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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