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.

Answer and Explanation

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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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. Clients who have vaginas have more alkalotic urine which promotes the growth of bacteria. B. Clients who have vaginas have a shorter urethra allowing bacteria to invade the bladder more easily. C. Clients who have vaginas have decreased strength of the detrusor muscle. D. Clients who have vaginas have a decreased bladder capacity.

Correct Answer is B

Explanation

Choice A reason: The pH of urine can vary, but having a more alkalotic urine does not necessarily promote the growth of bacteria. Urine is typically slightly acidic, which helps to prevent bacterial growth.

Choice B reason: The primary anatomical reason for the higher rates of UTIs in clients who have vaginas is the shorter length of the urethra compared to those who do not have vaginas. This shorter distance makes it easier for bacteria from the skin or rectal area to enter the bladder.

Choice C reason: The strength of the detrusor muscle, which controls the emptying of the bladder, does not have a direct correlation with the frequency of UTIs. UTIs are more related to bacterial invasion rather than muscle strength.

Choice D reason: Bladder capacity is generally not a factor in the frequency of UTIs. While residual urine can increase the risk of UTIs, this is not typically related to overall bladder capacity.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of which of the following substances?

Correct Answer is A

Explanation

A nurse is teaching a group of unlicensed assistive personnel about urinary tract infections (UTIs) in clients who have vaginas. When describing why clients who have vaginas have higher rates of UTIs than clients who do not have vaginas, which of the following explanations should the nurse use?

Correct Answer is B

Explanation

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