A nurse is providing education to a client who will be starting peritoneal dialysis. The client asks, "How does peritoneal dialysis work?" Which of the following responses by the nurse is accurate?

"Peritoneal dialysis uses a machine to filter blood outside of your body."

"Peritoneal dialysis involves the removal of the peritoneal membrane to filter waste."

"Peritoneal dialysis uses the peritoneal membrane in your abdomen to filter waste."

"Peritoneal dialysis requires a catheter to be inserted into your bladder to remove toxins."

Answer and Explanation

The Correct Answer is C

A) This statement is incorrect. Peritoneal dialysis does not use a machine to filter blood outside of the body; that description is characteristic of hemodialysis.

B) This statement is incorrect. Peritoneal dialysis does not involve the removal of the peritoneal membrane; instead, it uses the peritoneal membrane in the abdomen to filter waste.

C) This statement is accurate. Peritoneal dialysis uses the peritoneal membrane in the abdomen as a semipermeable membrane to filter waste products and excess fluids from the blood.

D) This statement is incorrect. Peritoneal dialysis does not require a catheter to be inserted into the bladder. Instead, it uses a catheter to infuse and drain dialysate into and out of the peritoneal cavity.

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Correct Answer is A

Explanation

A) This statement is accurate. Palpating for a thrill or vibration over the AV fistula site is a critical assessment to ensure proper functioning. A thrill indicates adequate blood flow through the fistula, which is essential for effective hemodialysis.

B) This statement is incorrect. Auscultating for bruits over the radial artery is not related to the AV fistula assessment. The bruit is the sound of blood flow in the fistula, which is best assessed directly over the fistula site.

C) This statement is incorrect. Checking for distal pulses in the lower extremities is not related to the assessment of an AV fistula. The AV fistula is typically created in the upper extremity.

D) This statement is incorrect. Assessing for swelling and tenderness in the neck is not related to the AV fistula assessment. Swelling and tenderness may be related to other issues but are not specific to AV fistula functioning.

A. "Avoid using sterile technique when handling the catheter." B. "Clean the catheter insertion site daily with alcohol wipes." C. "Change the dressing over the catheter daily using clean gloves." D. "Immerse the catheter in water while bathing or showering."

Correct Answer is C

Explanation

A. Incorrect. Using sterile technique when handling the catheter is essential to prevent infection. Clients and caregivers should be taught the proper aseptic technique for catheter care.

B. Incorrect. Alcohol wipes can dry out the skin and are not recommended for cleaning the catheter insertion site. A more appropriate solution is provided in the correct answer.

C. Correct. Changing the dressing over the catheter daily using clean gloves helps maintain a clean and dry site, reducing the risk of infection during peritoneal dialysis.

D. Incorrect. The catheter should not be immersed in water during bathing or showering, as this can introduce pathogens and increase the risk of infection.

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A nurse is providing education to a client who will be starting peritoneal dialysis. The client asks, "How does peritoneal dialysis work?" Which of the following responses by the nurse is accurate?

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Naxlex Comprehensive Predictor Exams

A client on hemodialysis has a history of arteriovenous (AV) fistula creation. Which of the following assessments should the nurse perform to ensure proper functioning of the AV fistula?

Correct Answer is A

Explanation

A client undergoing peritoneal dialysis asks the nurse about preventing infection at the catheter insertion site. What should the nurse recommend?

Correct Answer is C

Explanation

A nurse is caring for a client with end-stage renal disease (ESRD). The client's blood work shows elevated levels of creatinine, blood urea nitrogen (BUN), and potassium. Which of the following conditions is the primary indication for initiating dialysis?

A client with acute kidney injury (AKI) has a significantly decreased glomerular filtration rate (GFR). Which of the following is the primary indication for initiating dialysis in this client?

A client with end-stage renal disease (ESRD) is receiving erythropoietin-stimulating agents (ESAs) as part of the dialysis treatment. Which of the following statements by the client indicates an understanding of the medication's purpose?

A nurse is caring for a client with end-stage renal disease on dialysis. The client develops a persistent metallic taste in the mouth. What should the nurse do first?

A nurse is caring for a client with acute kidney injury (AKI). The client's urine output is significantly reduced, and laboratory tests show elevated levels of blood urea nitrogen (BUN) and creatinine. Which of the following is the primary indication for initiating dialysis in this client?

A client on peritoneal dialysis reports experiencing abdominal pain and fever. What should the nurse do first?

A client with end-stage renal disease (ESRD) is receiving heparin during hemodialysis to prevent clotting in the dialyzer. Which of the following laboratory values should the nurse monitor closely while the client is receiving heparin?

A client with chronic kidney disease receiving hemodialysis develops bleeding from the access site. What should the nurse do first?