The nurse is caring for a 56-year-old female client with renal ...

[penza]

The nurse is caring for a 56-year-old female client with renal failure who regularly undergoes per-itoneal dialysis. The nurse understands that this client is most at risk for:
 
  1. Pulmonary embolism
  2. Electrolyte imbalances
  3. Polyuria
  4. Urinary incontinence

Question 2

A 33-year-old female client in her first trimester of pregnancy complains to the nurse on her pre-natal visit that she is needs to urinate more frequently and is concerned about having a urinary tract infection.
 
  Which of the following statements would be most appropriate for the nurse to make?
  1. Are you having any burning or pain when you urinate?
  2. Your uterus is pushing up against your bladder which causes you to have to go more frequently
  3. Later in your pregnancy as the baby gets bigger it will be a lot worse
  4. It is normal for you to have to urinate more frequently because you are eliminating for two now

[IAPPLET]

Answer to Question 1

ANS: 2
Peritoneal dialysis is an indirect method of cleansing the blood of waste products using osmosis and diffusion with the peritoneum functioning as a semipermeable membrane. This method re-moves excess fluid and waste products from the bloodstream when a sterile electrolyte solution (dialysate) is instilled into the peritoneal cavity by gravity via a surgically placed catheter. The dialysate remains in the cavity for a prescribed time interval and then is drained out by gravity, taking accumulated wastes and excess fluid and electrolytes with it. This places the client at risk for electrolyte imbalances.

Answer to Question 2

ANS: 1
In a pregnant woman the developing fetus pushes against the bladder, reducing the bladder's capacity and causing a feeling of fullness. This effect is more likely to occur in the first and third trimesters. Since the client expressed concern regarding a UTI, the nurse should make further as-sessments to explore that possibility.