A client asks the nurse about the client's medications and tells ...

[kellyjaisingh]

A client asks the nurse about the client's medications and tells the nurse about investigating them on the Internet. The nurse's best response to this is:
 
  1. I'm glad you're interested in your therapy..
   2. Information on the Internet cannot be trusted. You should check with your pharmacist..
   3. Your physician is the one you should be asking these kinds of questions..
   4. Let's look at some of the sites you've been visiting..

Question 2

The nurse is explaining the process of peritoneal dialysis to a client who recently developed renal failure. Which of the following statements would the nurse include in a discussion with the client and family?
 
  1. The solutes in the dialysate will enter the bloodstream through the peritoneum..
   2. The peritoneum is more permeable because of the presence of excess metabolites..
   3. The peritoneum acts as a semipermeable membrane through which wastes move by diffusion and osmosis..
   4. The metabolites will diffuse from the interstitial space to the bloodstream mainly through diffusion and ultrafiltratio.

[Ksanderson1296]

Answer to Question 1

4. Let's look at some of the sites you've been visiting..

Rationale: Thousands of health-related sites exist on the Internet, with new ones occurring daily. There are no controls to ensure that information provided on these sites is accurate. Therefore, the nurse should help the client find reliable and accurate information. While wanting more information about their medications, disease processes, and treatment options is a proactive approach for consumers to take in regard to their care, it does not necessarily mean that they are seeking out the best sources of information. It is appropriate to seek information from a variety of sources, not just from the physician. However, nurses must assist clients in making sure the information they gather is credible and accurate.

Answer to Question 2

3. The peritoneum acts as a semipermeable membrane through which wastes move by diffusion and osmosis..

Rationale:
The peritoneum acts as a semipermeable membrane, allowing substances to move from an area of high concentration (the blood) to an area of lower concentration (the dialysate). Metabolic waste products and excess water can be eliminated through osmosis and diffusion utilizing the peritoneum as the semipermeable membrane.