The patient is scheduled for a peritoneal dialysis catheter insertion. Which information will the nurse provide prior to this procedure?
1. "The insertion site will be just below your sternum.".
2. "You will be able to care for this catheter at home.".
3. "Since you are having this procedure, you will not need a kidney transplant.".
4. "Hemodialysis can be performed through this catheter if necessary.".
5.
2
Rationale 1: These catheters are placed into the abdominal cavity.
Rationale 2: The patient or significant other is taught the care of this catheter so that dialysis is performed at home.
Rationale 3: Using peritoneal dialysis does not mean that the patient might not be a candidate for a kidney transplant at some time.
Rationale 4: There is a distinct difference between hemodialysis and peritoneal dialysis, and the access sites are not interchangeable.
Rationale 5:
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A patient has been admitted with hyperglycemic hyperosmolar nonketotic syndrome (HHNS). The blood glucose level is very high (880 mg/dL) on admission
The physician believes that the condition is the result of large amounts of glucose solutions administered intravenously (IV) during renal dialysis. What should the nurse anticipate that the patient would exhibit? a. Fruity breath and a high level of ketones in her urine b. Severe dehydration and hypernatremia caused by the hyperglycemia c. Exactly the same symptoms and signs as DKA d. Kussmaul respirations, nausea, and vo-miting
A 68-year-old woman tells the nurse that her breasts are sagging, she no longer menstruates, and sexual intercourse is sometimes uncomfortable. What information should the nurse include in responding to this patient?
a. The patient should see a physician because these are not normal changes associated with aging. b. Suggest that the patient try using a wa-ter-soluble lubricant before intercourse. c. Cessation of menses is normal, but the other changes are not. d. Sexual intercourse at this age is not necessary; avoid it if it is uncomfortable.
The psychiatric-mental health nurse attends a presentation on various theories of mental disorders. Which comment by the psychiatric nurse indicates an understanding of intrapersonal theories of personality development?
A) "Personality is manifested only in a person's interactions with another person or group.". B) "Personality is more strongly shaped by events occurring in the earliest years of life than by those occurring later.". C) "Every human's personality is genetically driven and individually developed.". D) "People become who they are through a learning process using reinforcements and punishments.".
What is the purpose of implementing total quality management?
a. To provide quality care within an organization b. To provide cost-efficient care across all age groups c. To provide necessary care to clients in a cost-effective system d. To provide efficient systems of primary care