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    Ati med surg proctored examQuestion 36
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    Ati med surg proctored exam

    A nurse is providing discharge teaching for a client who is to perform peritoneal dialysis at home. Which of the following information should the nurse include?

    Explanation & Rationale

    A. "You should warm the dialysate in a microwave oven before instillation": Dialysate should be warmed to body temperature before infusion, but a microwave is unsafe because it can heat unevenly and cause burns or discomfort. B. "You should anticipate pain the first week during the inflow of dialysate": Mild abdominal pain or discomfort during dialysate inflow is common during the initial week as the peritoneum adjusts. This usually improves with time, and reassuring the client about this expected symptom helps with adherence to treatment. C. "You should expect redness at the catheter exit site": Redness at the catheter exit site suggests infection and is not an expected finding. The site should remain clean and free from signs of inflammation, and any redness, drainage, or swelling must be reported promptly. D. "You should avoid foods high in fiber": Fiber is not contraindicated in peritoneal dialysis. In fact, constipation should be prevented because it can interfere with dialysate flow, so a diet that includes adequate fiber is encouraged unless restricted for another reason.

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