A patient with chronic renal failure is to begin renal dialysis treatment and asks for advice about which type of dialysis would be best. The patient is considering peritoneal dialysis because it is less expensive and has fewer dietary and fluid restrictions. What is the most accurate information for the nurse to provide about peritoneal dialysis?
It gives more independence and more closely resembles normal kidney function.
It has literally no drawbacks.
It usually does not work very well and has many complications, such as a high blood sugar level.
It is a lot more work than hemodialysis, in which the health care staff takes care of everything.
The Correct Answer is A
A. It gives more independence and more closely resembles normal kidney function: Peritoneal dialysis allows patients to manage treatment at home, providing more flexibility and independence, and it mimics the kidney's natural filtration process.
B. It has literally no drawbacks: While peritoneal dialysis has benefits, potential complications include peritonitis, catheter infections, and hyperglycemia from the dialysis solution.
C. It usually does not work very well and has many complications, such as a high blood sugar level: While hyperglycemia can occur, this exaggerates the risks and misrepresents the effectiveness of peritoneal dialysis.
D. It is a lot more work than hemodialysis, in which the health care staff takes care of everything: While it requires self-management, the workload depends on individual circumstances and training.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Potassium: Potassium levels may rise in kidney dysfunction but are not directly related to increased glomerular permeability.
B. Sodium: Sodium imbalance occurs in kidney dysfunction but is not a direct result of glomerular permeability.
C. Proteins: Increased permeability in glomerulonephritis allows proteins to leak into the urine, resulting in proteinuria.
D. Water: Water imbalance can occur, but it is not related to glomerular permeability.
Correct Answer is B
Explanation
A. Check for edema of the legs and ankles: Edema is not a common complication of lithotripsy. Monitoring for stone fragments and urinary symptoms is more relevant.
B. Watch for stone debris in the urine in 1 to 4 weeks: Lithotripsy fragments stones, and the patient is expected to pass debris in the urine for several weeks post-procedure.
C. Remain on restricted activity for a week: Patients can usually resume normal activity shortly after lithotripsy unless otherwise instructed.
D. Decrease fluid intake to 1000 mL/day: Increased fluid intake is encouraged to help flush out stone fragments and reduce the risk of recurrence.
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