This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A client is unsure of the decision to undergo peritoneal dialysis (PD) and wishes to discuss the ... (Read 43 times)

theo

  • Hero Member
  • *****
  • Posts: 698
on: Jun 25, 2018
A client is unsure of the decision to undergo peritoneal dialysis (PD) and wishes to discuss the advantages of this treatment with the nurse. Which statements by the nurse are accurate regarding PD? (Select all that apply.)
 
  a. You will not need vascular access to perform PD.
  b. There is less restriction of protein and fluids.
  c. You will have no risk for infection with PD.
  d. You have flexible scheduling for the exchanges.
  e. It takes less time than hemodialysis treatments.

Question 2

A client is undergoing hemodialysis. The client's blood pressure at the beginning of the procedure was 136/88 mm Hg, and now it is 110/54 mm Hg. What actions should the nurse perform to maintain blood pressure? (Select all that apply.)
 
  a. Adjust the rate of extracorporeal blood flow.
  b. Place the client in the Trendelenburg position.
  c. Stop the hemodialysis treatment.
  d. Administer a 250-mL bolus of normal saline.
  e. Contact the health care provider for orders.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

IAPPLET

  • Sr. Member
  • ****
  • Posts: 333
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A, B, D
PD is based on exchanges of waste, fluid, and electrolytes in the peritoneal cavity. There is no need for vascular access. Protein is lost in the exchange, which allows for more protein and fluid in the diet. There is flexibility in the time for exchanges, but the treatment takes a longer period of time compared to hemodialysis. There still is risk for infection with PD, especially peritonitis.

Answer to Question 2

ANS: A, B, D
Hypotension occurs often during hemodialysis treatments as a result of vasodilation from the warmed dialysate. Modest decreases in blood pressure, as is the case with this client, can be maintained with rate adjustment, Trendelenburg positioning, and a fluid bolus. If the blood pressure drops considerably after two boluses and cooling dialysate, the hemodialysis can be stopped and the health care provider contacted.


theo

  • Member
  • Posts: 698
Reply 2 on: Jun 25, 2018
Wow, this really help

lindahyatt42

  • Member
  • Posts: 322
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

The first oncogene was discovered in 1970 and was termed SRC (pronounced "SARK").

Did you know?

Hippocrates noted that blood separates into four differently colored liquids when removed from the body and examined: a pure red liquid mixed with white liquid material with a yellow-colored froth at the top and a black substance that settles underneath; he named these the four humors (for blood, phlegm, yellow bile, and black bile).

Did you know?

There used to be a metric calendar, as well as metric clocks. The metric calendar, or "French Republican Calendar" divided the year into 12 months, but each month was divided into three 10-day weeks. Each day had 10 decimal hours. Each hour had 100 decimal minutes. Due to lack of popularity, the metric clocks and calendars were ended in 1795, three years after they had been first marketed.

Did you know?

Intradermal injections are somewhat difficult to correctly administer because the skin layers are so thin that it is easy to accidentally punch through to the deeper subcutaneous layer.

Did you know?

Malaria was not eliminated in the United States until 1951. The term eliminated means that no new cases arise in a country for 3 years.

Establishing a caring and trusting relationship helps the client come to terms with a terminal illne Establishing a caring and trusting relationship helps the client come to terms with a terminal illne
Peritoneal dialysis. Peritoneal dialysis.
To reduce stress on your client’s neck when the head is turned, put a towel under the shoulder and ... To reduce stress on your client’s neck when the head is turned, put a towel under the shoulder and ...
Measuring the client’s blood pressure Measuring the client’s blood pressure
Positioning the client Positioning the client
Testing the client’s ability to feel vibrations, the knee Testing the client’s ability to feel vibrations, the knee
Video: Congenital Heart Defects Animation

For a complete list of videos, visit our video library