A client is unsure of the decision to undergo peritoneal dialysis (PD) and wishes to discuss the advantages of this treatment with the nurse. Which statements by the nurse are accurate regarding PD? (Select all that apply.)
a. "You will not need vascular access to perform PD."
b. "There is less restriction of protein and fluids."
c. "You will have no risk for infection with PD."
d. "You have flexible scheduling for the exchanges."
e. "It takes less time than hemodialysis treatments."
ANS: A, B, D
PD is based on exchanges of waste, fluid, and electrolytes in the peritoneal cavity. There is no need for vascular access. Protein is lost in the exchange, which allows for more protein and fluid in the diet. There is flexibility in the time for exchanges, but the treatment takes a longer period of time compared to hemodialysis. There still is risk for infection with PD, especially peritonitis.
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