Author Question: The nurse evaluates that the client is performing continuous ambulatory peritoneal dialysis ... (Read 54 times)

jCorn1234 · **on:** Jul 24, 2018

The nurse evaluates that the client is performing continuous ambulatory peritoneal dialysis correctly at home when the client:

A. Applies a mask before the procedure
B. Remains in bed most of the day
C. Keeps the dialysate cool for use
D. Leaves the solution in for a 30-minute dwell time

Question 2

During assessment of a patient, the chest tube becomes dislodged. What should the nurse do first?

a. Have an assistant apply an occlusive gauze dressing and tape on all four sides.
b. Clamp the chest tube.
c. Attempt to gently reinsert the tube.
d. Apply pressure over the insertion site.

trampas · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

A
A. When a client is performing peritoneal dialysis in the home, client must wear mask.
B. One major advantage of CAPD is that it allows the client to be out of the hospital, maintain the system at home, and continue with daily activities.
C. Dialysate is warmed.
D. Dwell time for CAPD is 3 to 5 hours. (CAPD client folds tubing and infusion bag on abdomen, which is concealed by clothing, and uses same bag and tubing for drain cycle.)

Answer to Question 2

D
If the chest tube becomes dislodged, immediately apply pressure over the chest tube insertion site. The nurse should first stabilize the patient to the best of his or her ability before calling the physician. Applying gauze to all four sides of an occlusive dressing would not allow for the escape of any air from the pleural space and could lead to a tension pneumothorax. Because the chest tube has become dislodged, it is outside of the body. Clamping the tube at this point would be useless. Nurses are not allowed to reinsert chest tubes. Immediately apply pressure over chest tube insertion site. Have an assistant apply gauze dressing and tape three sides. Notify the health care provider.