A nurse is providing discharge education to a client with chronic renal failure who will be receiving peritoneal dialysis at home. What should the nurse include in the client's education about peritoneal dialysis care?

"You should avoid touching the dialysis catheter site to prevent infection."

"You will need to weigh yourself daily and record your weight in a log."

"Peritoneal dialysis requires frequent visits to the dialysis center for treatments."

"You can administer pain medication before starting the dialysis exchange."

Answer and Explanation

The Correct Answer is A

A. Correct. Touching the dialysis catheter site increases the risk of infection, and clients receiving peritoneal dialysis must practice meticulous catheter care to minimize this risk.

B. Incorrect. While daily weight monitoring is essential for clients on peritoneal dialysis, it is not specifically related to peritoneal dialysis care.

C. Incorrect. Peritoneal dialysis is a home-based treatment, and the client performs the dialysis exchanges themselves. There is no need for frequent visits to the dialysis center.

D. Incorrect. Pain medication is not typically needed before starting a peritoneal dialysis exchange, as the procedure itself is not painful. Proper technique and sterile care are the main focus of peritoneal dialysis education.

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Correct Answer is B

Explanation

A. Incorrect. Excess production of calcium in the body is not a typical cause of bone pain in chronic renal failure.

B. Correct. Chronic renal failure can lead to impaired phosphorus excretion, resulting in elevated levels of phosphorus in the blood. High phosphorus levels can lead to bone demineralization, weakening the bones and causing bone pain.

C. Incorrect. While some medications used in the management of chronic renal failure may have side effects, frequent bone pain is not commonly associated with these medications.

D. Incorrect. Kidney dysfunction in chronic renal failure does not typically lead to low levels of calcium in the bones. Instead, it can lead to abnormalities in phosphorus levels, which affect bone health.

A. Apply compression stockings to the client's lower extremities. B. Elevate the client's legs to reduce swelling. C. Measure the client's blood pressure and pulse rate. D. Assess the client's daily protein intake.

Correct Answer is C

Explanation

A. Incorrect. Applying compression stockings may help reduce swelling but does not address the underlying cause. Additionally, compression stockings should not be used if the client has arterial insufficiency.

B. Incorrect. Elevation may provide temporary relief from swelling, but it does not address the underlying cause of fluid retention

in chronic renal failure.

C. Correct. The nurse should measure the client's blood pressure and pulse rate to assess for fluid overload and possible hypertension, which can be associated with chronic renal failure.

D. Incorrect. Assessing the client's daily protein intake is not the priority when the client presents with swelling in the ankles and legs. Fluid retention is a more immediate concern that requires assessment and intervention.

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A nurse is providing discharge education to a client with chronic renal failure who will be receiving peritoneal dialysis at home. What should the nurse include in the client's education about peritoneal dialysis care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic renal failure asks the nurse about the cause of their frequent bone pain. Which explanation by the nurse is accurate?

Correct Answer is B

Explanation

A client with chronic renal failure presents with swelling in the ankles and legs. What is the nurse's best action?

Correct Answer is C

Explanation

A nurse is assessing a client's risk factors for chronic renal failure. Which medical condition should the nurse recognize as a significant risk factor for kidney disease?

A nurse is reviewing the GFR test results for a client with chronic renal failure. The GFR value is 10 mL/min/1.73m². How should the nurse interpret this result?

A client with chronic renal failure is prescribed hemodialysis three times a week. The client expresses concerns about the potential impact on their lifestyle. What is the nurse's best response?

A nurse is caring for a client with chronic renal failure who is at risk for hyperkalemia. Which dietary modification should the nurse recommend to the client to reduce potassium intake?

A nurse is assessing a client's risk factors for chronic renal failure. Which medication should the nurse recognize as a potential risk factor for kidney disease?

A client with chronic renal failure is prescribed calcium-based phosphate binders. What should the nurse include in the client's education about taking calcium-based phosphate binders?

A client with chronic renal failure is experiencing fluid overload and hypertension. Which medication should the nurse anticipate being prescribed to address these complications?

A client with chronic renal failure presents with difficulty concentrating, irritability, and muscle cramps. Which electrolyte imbalance should the nurse suspect as the cause of these symptoms?