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A client is diagnosed with chronic kidney disease and needs to begin dialysis. Which condition entered on the client's medical record should the nurse recognize as a contraindication for peritoneal dialysis?

A.

Latent hepatitis C.

B.

Crohn's disease with colectomy.

C.

Nephrotic syndrome history.

D.

Type 2 diabetes mellitus.

Answer and Explanation

The Correct Answer is B

A. Latent hepatitis C is not an absolute contraindication for peritoneal dialysis, and patients with this condition can often undergo dialysis with appropriate precautions.  

 

B. Crohn's disease with a history of colectomy poses a risk for peritoneal dialysis due to potential intra-abdominal adhesions and infection, which can complicate the procedure and increase the risk of peritonitis.  

 

C. A history of nephrotic syndrome does not contraindicate peritoneal dialysis; patients with nephrotic syndrome may still be candidates depending on their overall kidney function and health status.  

 

D. Type 2 diabetes mellitus is a common condition among patients needing dialysis and does not preclude the use of peritoneal dialysis, as long as blood sugar levels are managed effectively.


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View Related questions

Correct Answer is B

Explanation

A. While the use of corticosteroid cream is relevant to treatment, it does not indicate a new cause for symptom exacerbation.

B. The introduction of a new dog could be a potential allergen, triggering an exacerbation of the client's eczema symptoms.

C. Receiving an influenza immunization is unlikely to be related to eczema exacerbations and is not a common trigger.

D. An old friend with eczema does not present a direct cause for the current exacerbation and is less relevant to the client's current condition.

Correct Answer is A

Explanation

A. Acute pain is the most immediate and pressing problem for the client, given the reported severe flank pain. Managing pain effectively is a primary concern in nursing care, particularly for clients with renal calculi.

B. While impaired renal function is a concern with renal calculi, the acute pain takes precedence as it requires immediate intervention to enhance the client's comfort and promote better overall health.

C. The risk for aspiration is a potential issue due to nausea and vomiting; however, addressing the pain is more urgent in this scenario.

D. Nutritional deficit related to nausea is also a valid concern but is secondary to the acute pain management. The client’s immediate comfort and pain relief should be prioritized to facilitate recovery and improve overall well-being.

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