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?

Question

Quizplus · Accepted Answer

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.
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.
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.
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.

A Patient with Acute Kidney Injury Is Disappointed That Hemodialysis