A nurse is teaching a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis (CAPD). Which of the following information should the nurse include in the teaching?
CAPD is the dialysis treatment of choice for clients who have a history of abdominal surgery.
CAPD requires a rigid schedule of exchange times.
CAPD requires the client to follow fewer dietary and fluid restrictions than hemodialysis requires.
CAPD filters the client's blood through an artificial device called a dialyzer.
The Correct Answer is C
Choice A reason: CAPD can be suitable for clients with a history of abdominal surgery, but it is not specifically the
treatment of choice due to this reason alone.
Choice B reason: CAPD does not require a rigid schedule of exchange times. It is ?exible and can be adjusted to fit the client's lifestyle.
Choice C reason: CAPD allows for more dietary and fluid freedom compared to hemodialysis because it is a continuous process that removes waste products and excess fluid more gradually.
Choice D reason: CAPD does not filter the client's blood through an artificial device called a dialyzer; that is a description of hemodialysis. CAPD uses the client's peritoneum as the filter to remove waste products and excess fluid.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: While fiber is important in a diet, recommending at least 45 g per day does not specifically address the needs of a patient with diabetic nephropathy.
Choice B reason: Consuming less than 0.8 g/kg of body weight of protein per day is recommended for patients with diabetic nephropathy to reduce the workload on the kidneys.
Choice C reason: Limiting cholesterol intake to 300 mg per day is a general recommendation for heart health but is not specific to diabetic nephropathy dietary management.
Choice D reason: The recommendation to consume less than 45% of total calories from carbohydrates is not specific to diabetic nephropathy, and carbohydrate needs can vary based on individual energy requirements.
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.
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