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Exam NCLEX-RN topic 5 question 84 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 84
Topic #: 5
[All NCLEX-RN Questions]

A female client has been diagnosed with chronic renal failure. She is a candidate for either peritoneal dialysis or hemodialysis and must make a choice between the two. Which information should the nurse give her to help her decide?

  • A. Hemodialysis involves less time to filter the blood; but the client must consider travel time, distance, and inconvenience.
  • B. Hemodialysis involves more time to filter the blood than does peritoneal dialysis.
  • C. Peritoneal dialysis has almost no complications and is less time consuming than hemodialysis. Therefore it is preferred.
  • D. Peritoneal dialysis requires that a home health nurse prepare and administer the treatments.
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Suggested Answer: A 🗳️
(A) Hemodialysis is faster in clearing the blood of toxins than peritoneal dialysis. However, clients must consider the time that they spend traveling to the dialysis center and the disruption in their daily lives. (B) Peritoneal dialysis requires several exchanges with dwelling time for the dialysate and therefore takes longer than hemodialysis. (C) Several serious complications of peritoneal dialysis include peritonitis, catheter displacement and/or plugging, or pain during dialysis. (D) A client can be taught to self-administer peritoneal dialysis without the aid of a professional.

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