Deck 22: Caring for Clients With Peritoneal Dialysis

Question 1

The nurse is caring for a client requiring peritoneal dialysis.Which task can be delegated to the unlicensed assistive personnel (UAP)?

A)Hanging the new dialysate fluid
B)Assisting with catheter insertion
C)Emptying the outflow fluid
D)Providing routine care for the client

Answer 1

Providing routine care for the client

Question 2

Which term is used to describe the solution to instill when performing peritoneal dialysis?

A)Dialysis
B)Dialysate
C)Electrolyte solution
D)Tenckhoff

Answer 2

Dialysate

Question 3

The nurse is providing care to several clients on a medical-surgical unit.Which clients may be candidates for peritoneal dialysis?

A)The client experiencing anuria
B)The client experiencing oliguria
C)The client experiencing polydipsia
D)The client diagnosed with end-stage renal failure
E)The client diagnosed with bladder cancer

Answer 3

The client experiencing anuria
The client experiencing oliguria
The client diagnosed with end-stage renal failure

Question 4

Prior to beginning the procedure of inserting the peritoneal dialysis catheter,which action by the nurse is appropriate?

A)Asking the client to urinate
B)Assisting the client into a prone position
C)Assisting the client to don sterile gloves,mask,and gown
D)Connecting the drainage receptacle to the outflow tubing

Question 5

The nurse is providing care to a client who receives peritoneal dialysis for the treatment of renal failure.Which assessment findings will the nurse report to the health care provider as indicators of peritonitis?

A)Fever
B)Nausea
C)Vomiting
D)Pain at the exit site
E)Anuria

Question 6

The nurse is teaching the unlicensed assistive personnel (UAP)data that requires a report to the nurse when providing care to a client receiving peritoneal dialysis.Which data does not require notification to the nurse?

A)Client complaints of pain or discomfort
B)Fluid leakage from around the catheter insertion site
C)Straw-colored outflow fluid
D)Skin irritation at the catheter site

Question 7

The nurse recognizes that which form of peritoneal dialysis can be performed in the home?

A)Intermittent peritoneal dialysis
B)Continuous ambulatory peritoneal dialysis
C)Continuous cycling peritoneal dialysis
D)Continuous ambulatory peritoneal dialysis and continuous cycling peritoneal dialysis

Question 8

The nurse is performing intermittent peritoneal dialysis.At 8 a.m. ,the nurse measures 1,050 mL of fluid from the 1 L infused at 4 a.m.The nurse hangs 1 L of fluid.At noon,the nurse measures 850 mL of drainage and hangs another liter.At 4 p.m. ,the nurse measures 1,100 mL of drainage and hangs another liter.What will the nurse document as intake and output?

A)4,000 mL input and 3,000 mL outflow
B)3,000 mL input and 3,000 mL outflow,0 cumulative exchange balance
C)4,000 mL input and 3,000 mL outflow with 1,000 mL cumulative exchange balance
D)4,000 mL input and 3,000 mL outflow with 0 cumulative exchange balance

Question 9

The nurse is anticipating the health care provider's arrival to insert a peritoneal dialysis catheter into the client.In addition to gathering the required equipment,which action by the nurse is the most appropriate?

A)Explaining the need for peritoneal dialysis to the client and family
B)Administering the pre-procedure sedation
C)Ordering the required dialysate
D)Determining that a signed consent has been obtained

Question 10

When removing the dialysate fluid,the nurse unclamps the outflow tubing and allows it to drain for which amount of time?

A)15 minutes
B)30 minutes
C)60 minutes
D)90 minutes