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 D

Explanation

Choice A reason: Carvedilol does not typically interact with contrast material to increase the risk of acute kidney injury.

Choice B reason: Atorvastatin does not typically interact with contrast material to increase the risk of acute kidney injury.

Choice C reason: Nitroglycerin does not typically interact with contrast material to increase the risk of acute kidney injury.

Choice D reason: Metformin can interact with contrast material and increase the risk of acute kidney injury, especially

in clients with pre-existing kidney problems.

A. Metastasis occurs when cancerous growths are located in the kidneys and also in another part of the body. B. Metastasis means a group of abnormal kidney cells is localized to a single location. C. Metastasis is when a group of kidney cells have changed to more closely resemble intestinal cells. D. Metastasis occurs when cancer cells grow until they run out of space and stop growing.

Correct Answer is A

Explanation

Choice A reason: Metastasis refers to the process by which cancer cells spread from the primary tumor site to distant organs or tissues. This can occur through the bloodstream or lymphatic system, leading to the formation of secondary tumors in other parts of the body.

Choice B reason: This statement is incorrect because metastasis, by definition, involves the spread of cancer cells to multiple locations, not their confinement to a single area.

Choice C reason: The description provided in this choice is more indicative of metaplasia, which is a change in the type of cells, and not metastasis, which is the spread of cancer cells.

Choice D reason: This choice is incorrect as it does not describe metastasis. Cancer cells do not stop growing because they run out of space; they continue to proliferate and can invade other tissues.

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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?

Nursing Test Bank

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