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

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

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

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

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

Answer and Explanation

The Correct Answer is A

Choice A reason:Using a microwave to warm the solution is not recommended as it can lead to uneven heating and potentially damage the solution or harm the patient.

Choice B reason: The statement about the catheter becoming infected despite sterile precautions is accurate and reflects an understanding of the risks associated with peritoneal dialysis.

Choice C reason:Expecting the volume of the output solution to be greater than the input solution is incorrect; typically, the volumes should be equal to ensure proper fluid removal.

Choice D reason: The fluid from the abdomen being clear or slightly yellow is a normal finding and does not indicate a need for further teaching.

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Correct Answer is B

Explanation

Choice A reason: A BUN level of 8 mg/dL and creatinine level of 0.7 mg/dL are within normal ranges and would not be expected in a client with CKD².

Choice B reason: Elevated BUN and creatinine levels, such as 45 mg/dL and 8 mg/dL respectively, are indicative of impaired kidney function, which is consistent with CKD².

Choice C reason: A BUN level of 10 mg/dL and creatinine level of 0.3 mg/dL are lower than the expected values for a client with CKD, indicating better kidney function than typically seen in CKD².

Choice D reason: A BUN level of 23 mg/dL and creatinine level of 1.0 mg/dL may be slightly elevated but are not as indicative of CKD as the values in choice B².

A. "These tests will enable the provider to determine the heart structure and mobility of the heart valves." B. "Cardiac enzymes will identify the location of the MI." C. "Cardiac enzymes assist in diagnosing the presence of pulmonary congestion." D. "These tests help determine the degree of damage to the heart tissues."

Correct Answer is D

Explanation

Choice A reason:Cardiac enzyme studies do not provide information about the heart's structure or the mobility of the heart valves; imaging studies are used for that purpose.

Choice B reason:While cardiac enzymes indicate damage to heart tissues, they do not pinpoint the exact location of an MI; imaging studies are needed for localization.

Choice C reason:Cardiac enzymes are not used to diagnose pulmonary congestion; they are specific markers for myocardial injury.

Choice D reason:Cardiac enzyme levels, such as troponin, rise when there is damage to the heart muscle, which is why they are used to assess the degree of damage after an MI.

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A nurse is teaching a client about self-administering 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 reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease (CKD). Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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