A 64-year-old male patient who has had progressive chronic kidney ...

[bobthebuilder]

A 64-year-old male patient who has had progressive chronic kidney disease (CKD) for several years has just begun regular hemodialysis. Which information about diet will the nurse include in patient teaching?
 
  a. Increased calories are needed because glucose is lost during hemodialysis.
  b. Unlimited fluids are allowed because retained fluid is removed during dialysis.
  c. More protein is allowed because urea and creatinine are removed by dialysis.
  d. Dietary potassium is not restricted because the level is normalized by dialysis.

Question 2

Which action by a 70-year-old patient who is using peritoneal dialysis (PD) indicates that the nurse should provide more teaching about PD?
 
  a. The patient leaves the catheter exit site without a dressing.
  b. The patient plans 30 to 60 minutes for a dialysate exchange.
  c. The patient cleans the catheter while taking a bath each day.
  d. The patient slows the inflow rate when experiencing abdominal pain.

[BUTTHOL369]

Answer to Question 1

ANS: C
Once the patient is started on dialysis and nitrogenous wastes are removed, more protein in the diet is encouraged. Fluids are still restricted to avoid excessive weight gain and complications such as shortness of breath. Glucose is not lost during hemodialysis. Sodium and potassium intake continues to be restricted to avoid the complications associated with high levels of these electrolytes.

Answer to Question 2

ANS: C
Patients are encouraged to take showers rather than baths to avoid infections at the catheter insertion side. The other patient actions indicate good understanding of peritoneal dialysis.

[bobthebuilder]

TYSM

[FergA]

Excellent