Deck 22: Caring for Clients With Peritoneal Dialysis

Question 1

A client has chronic kidney failure. Which form of peritoneal dialysis should the nurse explain can be performed in the home?

A) Intermittent peritoneal dialysis
B) Continuous ambulatory peritoneal dialysis
C) Continuous cycling peritoneal dialysis
D) Continuous ambulatory peritoneal dialysis and continuous cycling peritoneal dialysis

Answer 1

D
Explanation:1. Both continuous ambulatory peritoneal dialysis and continuous cycling peritoneal dialysis can be performed in the home. Intermittent peritoneal dialysis is usually performed only in the acute care facility.
2. Both continuous ambulatory peritoneal dialysis and continuous cycling peritoneal dialysis can be performed in the home. Intermittent peritoneal dialysis is usually performed only in the acute care facility.
3. Both continuous ambulatory peritoneal dialysis and continuous cycling peritoneal dialysis can be performed in the home. Intermittent peritoneal dialysis is usually performed only in the acute care facility.
4. Both continuous ambulatory peritoneal dialysis and continuous cycling peritoneal dialysis can be performed in the home. Intermittent peritoneal dialysis is usually performed only in the acute care facility.

Question 2

The nurse is caring for a client requiring peritoneal dialysis. Which task can be delegated to the assistive personnel (AP)?

A) Hanging the new dialysate fluid
B) Assisting with catheter insertion
C) Emptying the outflow fluid
D) Providing routine care for the client

Answer 2

D
Explanation:1. Hanging dialysate fluid requires sterile technique and should not be delegated to the AP.
2. Assisting with catheter insertion requires assessment skills and use of sterile technique which would not be appropriate for delegation to the AP.
3. Emptying of the outflow fluid requires assessment skills and use of sterile technique which would not be appropriate for delegation to the AP.
4. The AP may help with routine care, such as bathing and feeding the client.

Question 3

The nurse is teaching the assistive personnel (AP) data that requires a report to the nurse when providing care to a client receiving peritoneal dialysis. Which data should the nurse instruct AP to delete from notifications?

A) Client complaints of pain or discomfort
B) Fluid leakage from around the catheter insertion site
C) Straw-colored outflow fluid
D) Skin irritation at the catheter site

Answer 3

C
Explanation:1. Straw-colored outflow fluid is normal and would not need to be reported. The remaining data indicate a problem, and the AP should be instructed to report them to the nurse as soon as possible.
2. Straw-colored outflow fluid is normal and would not need to be reported. The remaining data indicate a problem, and the AP should be instructed to report them to the nurse as soon as possible.
3. Straw-colored outflow fluid is normal and would not need to be reported. The remaining data indicate a problem, and the AP should be instructed to report them to the nurse as soon as possible.
4. Straw-colored outflow fluid is normal and would not need to be reported. The remaining data indicate a problem, and the AP should be instructed to report them to the nurse as soon as possible.

Question 4

The nurse is assisting the primary care provider with the insertion of a peritoneal dialysis catheter. In which way should the nurse care for the insertion site?

A) Cover with a semi-permeable membrane
B) Apply antiseptic ointment, precut gauze, and tape
C) Cleanse with antiseptic solution and keep open to air
D) Swab the site with alcohol and cover with a gauze pad