NNRT 1 (Set 2)

The statement below is correct about principle of peritoneal dialysis

 

• Size of solute determine the rate of removal

• water removed via diffusion and convection only

• Amount of vascular supply in peritoneum determine protein removal

• Cooler dialysate helps the diffusion of glucose through the membrane

Below is the advantage of icodextrin dialysates

• cheaper in term of price

• Easily absorbed and doesn’t cause peritoneal fibrosis

• Require lower concentration of dextrose for better solute removal

• can be stored at any temperature and doesn’t cause degradation

What is contraindication to donor of kidney transplantation?

 

• eGFR lesser than 60ml/min

• extensive vascular disease

• BMI lesser than 45kg/m2/1.73

• commercial non-living related transplantation

Clinical manifestation for acute kidney transplant rejection is

 

• haematuria and pyuria

• increased urine output and hypotension

• fever, weight gain and diminished urine output

• pain in the incision, general malaise and depression

Madam K on intermittent peritoneal dialysis, complained of abdominal pain during treatment. The cause may be due to

• rapid inflow

• long dwell time

• hypotonic solution

• kinking of dialysis catheter

Patient on intermittent peritoneal dialysis (IPD) notice poor outflow second cycle of treatment. What is the immediate action by attending nurse?

• Ask the patient to cough

• check for kinks in the outflow tubing

• place the patient in a reverse Trendelenburg position

• Raise the drainage bag above the level of the abdomen

Nurses should be alert while reviewing patient’s laboratory result who is on intermittent peritoneal dialysis (IPD). This includes

• hematocrit level > 35 %

• glucose level <8.0mmol/l

• potassium level < 5.0 mmol/l

• white cell count (WBC) > 10000mm

The health education that should be given to newly trained patient include

 

• Take laxative to prevent constipation

• Apply thick oinment around the exit site

• Heat up the dialysate solution prior to exchange

• Take calcium-based phosphate binder after meal

A client with chronic kidney disease (CKD) has asked to be evaluate for a home continuous ambulatory peritoneal dialysis (CAPD) program. The nurse should provide following advice to improve clearance

• Do PD exchange every 4-6 hours every day

• perform hand rub once during every exchange

• Switch on the fan to provide better ventilation during the exchange

• Use glove to cover the hand if unable to remove the ring from the finger before starting the  procedure

The nurse is preparing to care for a client receiving continuous ambulatory peritoneal dialysis

(CAPD). The following should be included in the nursing care plan to prevent complication associated

with peritoneal dialysis

 

• Maintain strict aseptic technique

• Add heparin to the dialysate solution

• Change the catheter site dressing daily

• Monitor the client’s level consciousness