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

Explanation

Choice A reason: Epoetin alfa is used to treat anemia associated with chronic kidney disease, and iron supplementation is often required to support red blood cell production.

Choice B reason: Sodium intake does not need to be increased with epoetin alfa therapy and should be monitored carefully in clients with chronic kidney disease.

Choice C reason: Potassium levels should be monitored in chronic kidney disease and not necessarily increased, as hyperkalemia can be a concern.

Choice D reason: Protein intake should be managed carefully in chronic kidney disease to avoid excess nitrogen waste, which can be difficult for damaged kidneys to filter.

A. BUN 8 mg/dL and creatinine 0.7 mg/dL B. BUN 45 mg/dL and creatinine 8 ng/dL C. BUN 10 mg/dL and creatinine 0.3 mg/dL D. BUN 23 mg/dL and creatinine 1.0 mg/dL

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.

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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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