A client asks the nurse, "What are the advantages of peritoneal dialysis over hemodialysis?" Which response by the nurse is accurate? (Select all that apply.)
a. "It will give you greater freedom in your scheduling."
b. "You have less chance of getting an infec-tion."
c. "You need to do it only three times a week."
d. "You do not need a machine to do it."
e. "You will have fewer dietary restrictions."
A, D, E
Although peritoneal dialysis is slower than hemodialysis, it does not require a specially trained registered nurse and can be done at home, allowing for greater flexibility in scheduling. Perito-neal dialysis is ambulatory, and a machine is not needed. Nursing implications for hemodialysis include vascular access care and diet restrictions, whereas peritoneal dialysis allows for a more flexible diet (abdominal catheter care is still necessary).
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