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 D

Explanation

Choice A reason: A BUN level of 8 mg/dL and a creatinine level of 0.7 mg/dL are within normal ranges for healthy individuals. In CKD, BUN and creatinine levels are typically elevated due to decreased kidney function.

Choice B reason: A BUN level of 45 mg/dL is elevated, which could be expected in CKD, but a creatinine level of 8 ng/dL is not correctly expressed. Creatinine is measured in mg/dL, and in CKD, it would be higher than normal, not lower.

Choice C reason: A BUN level of 10 mg/dL and a creatinine level of 0.3 mg/dL are both lower than what would typically be expected in a patient with CKD. CKD usually results in higher levels due to reduced kidney function.

Choice D reason: A BUN level of 23 mg/dL and a creatinine level of 1.0 mg/dL are more aligned with what might be expected in CKD. Normal BUN levels range from 7 to 20 mg/dL, and normal creatinine levels can vary based on age, sex, and body size. In CKD, both levels tend to be higher as the kidneys' ability to filter blood decreases.

A. First-voided urine in the morning has a strong odor. B. Urine output of 175 mL in the past 8 hours. C. Urine output of 2,200 mL in the past 24 hours. D. Urine is cloudy after sitting in the urinal for 6 hours.

Correct Answer is B

Explanation

Choice A reason: A strong odor in the first-voided urine can be normal, especially if it's concentrated after a night's sleep.

Choice B reason: An output of 175 mL in 8 hours is concerning, as it indicates oliguria, which is a urine output of less than 400 mL in 24 hours, and can be a sign of worsening renal function.

Choice C reason: An output of 2,200 mL in 24 hours is within normal urine output ranges, which is typically 800 to 2,000 mL per day for an average adult.

Choice D reason: Urine becoming cloudy after sitting for a period is common due to precipitation of salts and proteins at lower temperatures.

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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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A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease (CKD). The nurse should expect which of the following findings?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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