DIALYSIS COMPREHENSIVE GUIDE
QUESTIONS 2026 TRUSTED ANSWERS
READY
⫸ A patient has undergone successful kidney transplantation but
develops a sudden rapid decrease in urine output five days after the
surgery. What are the factors that the nurse should suspect to have
caused this condition? Select all that apply.
Leakage of urine
Rejection of kidney
Overdose of steroids
Obstruction in the urinary catheter
Inadequate administration of fluids. Answer: Leakage of urine
Rejection of kidney
Obstruction in the urinary catheter
Inadequate administration of fluids
A sudden decrease in urine output in the early postoperative period is
a cause for concern. It may be caused by dehydration, rejection, a
urine leak, or obstruction. Inadequate administration of fluids may
cause dehydration. Decreased urine output is a sign of organ rejection.
A common cause of early obstruction is a blood clot in the urinary
catheter. An overdose of steroids does not cause decreased urine
output.
,⫸ Which statement by the nurse regarding continuous ambulatory
peritoneal dialysis (CAPD) would be of highest priority when
teaching a patient new to this procedure?
"It is essential that you maintain aseptic technique to prevent
peritonitis."
"You will be allowed a more liberal protein diet once you complete
CAPD."
"It is important for you to maintain a daily written record of blood
pressure and weight."
"You will need to continue regular medical and nursing follow-up
visits while performing CAPD.". Answer: "It is essential that you
maintain aseptic technique to prevent peritonitis."
Peritonitis is a potentially fatal complication of peritoneal dialysis,
and thus it is imperative to teach the patient methods of preventing
this from occurring by use of aseptic technique. Although the nurse
will teach a patient that he or she may be allowed more protein, the
importance of maintaining a weight and blood pressure record, and
keeping follow-up appointments, these statements do not have the
potential for morbidity and mortality as does peritonitis, thus making
that statement of highest priority.
, ⫸ A patient with chronic kidney disease is prescribed regular
peritoneal dialysis (PD). What should the nurse inform the patient
while teaching about PD?
Avoid high-protein diets.
Take potassium supplements.
Avoid powdered breakfast drinks.
Restrict fluid intake, as in hemodialysis.. Answer: Take potassium
supplements.
The patient undergoing regular peritoneal dialysis (PD) does not need
to restrict potassium intake; instead, this patient may be prescribed
oral potassium supplementation because of hypokalemia caused by
dialysis. The patient need not restrict protein or fluid intake. The
patient should include enough protein in the diet to compensate for
loss of protein in dialysate. The patient may even take liquid or
powdered breakfast drinks in case of inadequate protein intake.
Patients on hemodialysis have a more restricted fluid intake than
patients receiving peritoneal dialysis (PD).
⫸ The nurse is caring for a patient undergoing peritoneal dialysis.
What finding should the nurse report to the primary health care
provider that would indicate peritonitis?
1
QUESTIONS 2026 TRUSTED ANSWERS
READY
⫸ A patient has undergone successful kidney transplantation but
develops a sudden rapid decrease in urine output five days after the
surgery. What are the factors that the nurse should suspect to have
caused this condition? Select all that apply.
Leakage of urine
Rejection of kidney
Overdose of steroids
Obstruction in the urinary catheter
Inadequate administration of fluids. Answer: Leakage of urine
Rejection of kidney
Obstruction in the urinary catheter
Inadequate administration of fluids
A sudden decrease in urine output in the early postoperative period is
a cause for concern. It may be caused by dehydration, rejection, a
urine leak, or obstruction. Inadequate administration of fluids may
cause dehydration. Decreased urine output is a sign of organ rejection.
A common cause of early obstruction is a blood clot in the urinary
catheter. An overdose of steroids does not cause decreased urine
output.
,⫸ Which statement by the nurse regarding continuous ambulatory
peritoneal dialysis (CAPD) would be of highest priority when
teaching a patient new to this procedure?
"It is essential that you maintain aseptic technique to prevent
peritonitis."
"You will be allowed a more liberal protein diet once you complete
CAPD."
"It is important for you to maintain a daily written record of blood
pressure and weight."
"You will need to continue regular medical and nursing follow-up
visits while performing CAPD.". Answer: "It is essential that you
maintain aseptic technique to prevent peritonitis."
Peritonitis is a potentially fatal complication of peritoneal dialysis,
and thus it is imperative to teach the patient methods of preventing
this from occurring by use of aseptic technique. Although the nurse
will teach a patient that he or she may be allowed more protein, the
importance of maintaining a weight and blood pressure record, and
keeping follow-up appointments, these statements do not have the
potential for morbidity and mortality as does peritonitis, thus making
that statement of highest priority.
, ⫸ A patient with chronic kidney disease is prescribed regular
peritoneal dialysis (PD). What should the nurse inform the patient
while teaching about PD?
Avoid high-protein diets.
Take potassium supplements.
Avoid powdered breakfast drinks.
Restrict fluid intake, as in hemodialysis.. Answer: Take potassium
supplements.
The patient undergoing regular peritoneal dialysis (PD) does not need
to restrict potassium intake; instead, this patient may be prescribed
oral potassium supplementation because of hypokalemia caused by
dialysis. The patient need not restrict protein or fluid intake. The
patient should include enough protein in the diet to compensate for
loss of protein in dialysate. The patient may even take liquid or
powdered breakfast drinks in case of inadequate protein intake.
Patients on hemodialysis have a more restricted fluid intake than
patients receiving peritoneal dialysis (PD).
⫸ The nurse is caring for a patient undergoing peritoneal dialysis.
What finding should the nurse report to the primary health care
provider that would indicate peritonitis?
1
