A nurse is providing discharge teaching for a client who is to perform peritoneal dialysis at home. Which of the following information should the nurse include?
You should warm the dialysate in a microwave oven before instillation.
You should anticipate pain during the first week of the inflow of dialysate.
You should expect redness at the catheter exit site.
You should avoid foods high in fiber.
None of the above.
The Correct Answer is E
Choice A reason: Warming the dialysate in a microwave oven is not recommended because uneven heating could occur, leading to hot spots that can burn the peritoneal cavity. The dialysate should be warmed to body temperature using a warming device designed for this purpose.
Choice B reason: While some discomfort may be experienced during the first few exchanges, significant pain is not expected. If pain occurs, it should be reported to a healthcare provider, as it may indicate an underlying problem.
Choice C reason: Redness at the catheter exit site is not a normal expectation and could indicate an infection. The site should be kept clean and dry, and any signs of redness, swelling, or discharge should be reported to a healthcare provider immediately.
Choice D reason: There is no need to avoid foods high in fiber unless otherwise advised by a healthcare provider. In fact, a diet high in fiber can be beneficial for bowel regularity, which is important for patients on peritoneal dialysis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Iron deficiency is not typically associated with an increased risk of renal calculi. Renal calculi, or kidney stones, are generally composed of minerals such as calcium, oxalate, urate, cystine, xanthine, and phosphate.
Choice B reason: While protein in the urine, or proteinuria, may indicate kidney disease, it is not a direct risk factor for the formation of renal calculi. However, excessive dietary protein intake can increase the risk of stone formation.
Choice C reason: Dehydration is a significant risk factor for renal calculi. Insufficient fluid intake leads to concentrated urine, which can promote the crystallization and aggregation of stone-forming substances.
Choice D reason: Obesity is associated with an increased risk of renal calculi. Higher body mass index (BMI) can lead to changes in urine that promote the formation of stones.
Correct Answer is A
Explanation
Choice A reason: General anesthesia can cause urinary retention due to its effects on the nervous system, which may temporarily impair the normal re?exes that control urination. This is particularly relevant in the immediate postoperative period.
Choice B reason: While liver failure can have many systemic effects, it is not directly associated with an increased risk of urinary retention. Urinary retention is more commonly related to factors affecting the urinary tract or nervous system.
Choice C reason: A diet high in calcium oxalate can contribute to kidney stones, but it does not directly increase the risk of urinary retention. Urinary retention typically involves an obstruction or nerve dysfunction.
Choice D reason: Antibiotic treatment for a skin infection, even one caused by Staphylococcus aureus, would not typically result in urinary retention. Urinary retention is usually related to urinary tract obstructions, medications, or nerve issues.
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