A patient with acute kidney injury is disappointed that hemodialysis, instead of peritoneal dialysis, is planned for treatment
After teaching about the two types of dialysis, the nurse determines that further instruction is needed when the patient makes which statement about the disadvantages of peritoneal dialysis? 1. "It's not speedy enough to remove the wastes."
2. "It may worsen my breathing problems."
3. "It cannot be used for older patients like me."
4. "It's not nearly as efficient as hemodialysis."
3
Rationale 1: This is a correct statement that does not require further teaching. Peritoneal dialysis is often not speedy enough to adequately remove the midsized wastes such as urea that accumulate rapidly in catabolic patients with acute kidney injury.
Rationale 2: This is a correct statement that does not require further teaching. The volume of fluid that is placed in the peritoneum in PD tends to have a negative impact on respiratory function.
Rationale 3: This is not a correct statement. Age is not a primary determining factor in use of peritoneal dialysis. It is rarely used in acute kidney injury because there are a variety of disadvantages; for example, several studies have demonstrated poorer outcomes for patients who received PD rather than other modalities of treatment for acute kidney injury.
Rationale 4: This is a correct statement that does not require further teaching. Peritoneal dialysis is not speedy enough to remove wastes and fluid for those patients experiencing acute kidney injury.
You might also like to view...
The client has elected to undergo a surgical procedure to alleviate the symptoms of carpal tunnel syndrome. This is best described as:
a. intraoperative injections of corticosteroids b. release of the ulnar nerve c. release of the transverse carpal ligament d. stretching of the wrist tendons and ligaments under anesthesia
When a nurse working in a well-child clinic asks a parent's address, the parent responds, "My children and I are homeless." The nurse can assess this response as
a. a common occurrence, because 1 out of 50 children are homeless. b. a signal to investigate the possibility that the parent has severe mental illness. c. evidence of child abuse or neglect that should be reported to social service agencies. d. unusual because most homeless individuals have severe mental illness or substance abuse problems.
A 25-year-old primigravida is at 20 weeks' gestation. The nurse takes her vital signs and notifies the healthcare provider immediately because of which finding?
1. Pulse 88/minute 2. Rhonchi in both bases 3. Temperature 37.4°C (99.3°F) 4. Blood pressure 130/78
A 15 month old admitted with croup is sleeping in a cool mist tent. The nurse checks on him and notices that he is retracting and tachypneic. What is the first thing she should do?
1. Increase the oxygen flow to the tent 2. Check the child's pulse oximetry 3. Check the child's temperature 4. Notify the physician