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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Furosemide does not require a diet low in potassium; in fact, patients may need to increase their potassium intake due to its diuretic effect.
Choice B reason: Patients on furosemide should not limit fluid intake unless specifically instructed by their healthcare provider, as the medication is a diuretic.
Choice C reason: Furosemide is used to treat high blood pressure, so it would not cause an increase in blood pressure.
Choice D reason: Limiting sun exposure and wearing sunscreen is important as furosemide can make the skin more sensitive to sunlight.
Correct Answer is ["50"]
Explanation
Step 1: The total amount of phenytoin required per dose is 250 mg.
Step 2: Each 5 mL of oral solution contains 25 mg of phenytoin.
Step 3: To find out how many mL are needed, we divide the total amount required by the amount in each 5 mL of oral solution. So, (250 mg ÷ 25 mg/5 mL).
Step 4: The result is 50 mL.
So, the nurse should administer 50 mL per dose. This is already a whole number, so no rounding is necessary.
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