A nurse is teaching a client about self-administered peritoneal dialysis. Which of the following statements by the client indicates a need for further teaching?

"The volume of the output solution should be greater than the input solution."

"The fluid from my abdomen will be clear or slightly yellow."

"The microwave in my kitchen can warm the solution before I use it."

"The catheter can become infected even with sterile precautions."

Answer and Explanation

The Correct Answer is C

Choice A reason: The output solution is typically the same or slightly less than the input solution due to fluid removal during dialysis.

Choice B reason: The fluid from the abdomen should be clear or slightly yellow; any other color may indicate infection or bleeding.

Choice C reason: Using a microwave to warm the solution is not recommended as it can unevenly heat the solution and damage its composition.

Choice D reason: While sterile precautions are taken, there is still a risk of infection with any catheter.

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Correct Answer is ["A","B"]

Explanation

Choice A reason: The normal range for serum creatinine in adult females is approximately 0.6–1.1 mg/dL. A level of 1.8 mg/dL is elevated and indicates impaired kidney function, which is a risk factor for AKI.

Choice B reason: Normal BUN levels are generally between 6 to 24 mg/dL⁸. A BUN level of 200 mg/dL is significantly elevated and suggests kidney dysfunction, which can lead to AKI.

Choice C reason: Serum osmolality in the normal range, which is typically between 275 to 295 mOsm/kg H2O for adults⁹[13][^10^][14][16], does not indicate an increased risk of AKI.

Choice D reason: The normal range for serum magnesium is typically 1.7 to 2.2 mg/dL or 0.85 to 1.10 mmol/L. A level of 2.0 mEq/L (which is equivalent to 2.0 mg/dL) is within the normal range and does not indicate an increased risk for AKI.

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 teaching a client about self-administered peritoneal dialysis. Which of the following statements by the client indicates a need for further teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is monitoring an older adult female client who had a myocardial infarction (MI) for the development of acute kidney injury (AKI). Which of the following findings should the nurse identify as indicating an increased risk of AKI?

Correct Answer is ["A","B"]

Explanation

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Correct Answer is B

Explanation

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