Author Question: The nurse is caring for a patient receiving peritoneal dialysis. After completing the exchange and ... (Read 154 times)

lilldybug07 · **on:** Jun 25, 2018

The nurse is caring for a patient receiving peritoneal dialysis. After completing the exchange and draining the dialysate, the nurse notices that the dialysate is cloudy. How should the nurse interpret this finding?

1. a sign of infection
2. a sign of vascular access occlusion
3. the normal appearance of dialysate
4. a sign of possible bowel perforation

Question 2

The nurse is evaluating the effectiveness of dietary teaching provided to a patient with chronic kidney disease. Which menu choices indicate that the patient understands the dietary regimen?

dinner
2. bacon and eggs for breakfast; hot dog with sauerkraut for lunch; baked canned ham with green peas for dinner
3. two bananas for breakfast; rice and beans for lunch; fruit salad, green beans, and an 8-ounce steak for dinner
4. half a cantaloupe and three eggs for breakfast; a baked potato with processed cheese spread and broccoli for lunch; chicken, pinto beans, squash, and pecan pie for dinner

katkat_flores · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Dialysate is typically clear. Cloudy or malodorous dialysate may indicate infection. Blood or feces in the dialysate may indicate organ or bowel perforation. Peritoneal dialysis does not use vascular access.

Answer to Question 2

Correct Answer: 1
The patient with chronic kidney disease needs to adhere to a low-protein, sodium- and potassium-restricted diet. Menu choices that include large amounts of protein, potassium, and sodium in processed foods indicate that dietary teaching was not effective.