A nurse is providing discharge teaching to a client who will be performing continuous ambulatory peritoneal dialysis (CAPD) at home. Which of the following statements from the client indicates an understanding of this type of dialysis management? (Select all that apply)

"I must wash my hands every time before I connect the tubing to the catheter in my stomach."

"I will lay down for 4 to 6 hours every time the new solution is dwelling in my peritoneal cavity."

"I will weigh myself daily and keep track of my weight in my dialysis record."

"I will complete the instillation of fluid once a day at bedtime."

"I will check my blood pressure and follow the instructions related to changes I might need to do based on the results."

Answer and Explanation

Correct Answer : A,C,E

Choice A reason: Proper hand hygiene is essential before connecting the tubing to the catheter to prevent infections, which is a key component of CAPD management.

Choice B reason: There is no requirement to lay down while the dialysis solution dwells in the peritoneal cavity. Patients can move around and continue with their daily activities.

Choice C reason: Regularly weighing oneself is important to monitor fluid balance and the effectiveness of the dialysis, making it a crucial part of home dialysis management.

Choice D reason: CAPD typically involves multiple exchanges throughout the day, not just one instillation at bedtime.

Choice E reason: Monitoring blood pressure is important for managing fluid balance and cardiovascular health in patients on dialysis.

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Correct Answer is B

Explanation

Choice A reason: Specific gravity is typically increased in clients who have hypovolemia, not decreased, due to the concentration of urine as the body atempts to conserve water.

Choice B reason: Creatinine levels are indeed increased in clients who have acute kidney injury, reffecting decreased kidney function and filtration.

Choice C reason: Potassium levels are not necessarily increased in clients who have polyuria. Polyuria can be associated with a variety of conditions and does not directly indicate high potassium levels.

Choice D reason: BUN, or blood urea nitrogen, is typically increased in clients who have dehydration, not decreased, due to the concentration of blood solutes as the body conserves water.

A. Pruritus B. Slurred speech C. Hypotension D. Bone pain E. Bradypnea

Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: Pruritus, or severe itching, is a common symptom in patients with ESRD due to the build-up of waste products in the body.

Choice B reason: Slurred speech is not typically associated with ESRD. It may be a symptom of other neurological conditions or could be related to medications or treatments.

Choice C reason: Hypotension can be an expected finding in ESRD due to the fluid shifts and changes in blood volume

that occur during dialysis treatment.

Choice D reason: Bone pain is a known complication of ESRD, often resulting from the mineral and bone disorders that are part of chronic kidney disease-mineral and bone disorder (CKD-MBD).

Choice E reason: Bradypnea, or abnormally slow breathing, may occur in ESRD as a result of metabolic changes affecting the respiratory system.

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A nurse is providing discharge teaching to a client who will be performing continuous ambulatory peritoneal dialysis (CAPD) at home. Which of the following statements from the client indicates an understanding of this type of dialysis management? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

A nurse is discussing laboratory values associated with the renal system with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the values?

Correct Answer is B

Explanation

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Correct Answer is ["A","C","D","E"]

Explanation

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