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    Advanced Med Surghealth And Wellness Proctored Exam(Massachusetts College Of Pharmacy And Health Sciences)

    The nurse is teaching a client how to increase the flow of dialysate into the peritoneal cavity during dialysis. Which statement by the client demonstrates a correct understanding of the teaching?

    Explanation & Rationale

    A. I will take a stool softener every morning to avoid constipation: Constipation increases intra-abdominal pressure and can mechanically compress the peritoneal catheter, impairing dialysate inflow and outflow. Maintaining regular bowel movements reduces pressure on the catheter and allows unobstructed dialysate flow into the peritoneal cavity. B. I will leave the drainage bag above the level of my abdomen: Dialysate flow is gravity-dependent, and the drainage bag must be positioned below the abdomen to facilitate outflow. Elevating the bag above the abdomen would impede drainage and potentially cause fluid retention within the peritoneal cavity. C. I will flush the tubing with normal saline if the flow stops: Instilling fluid into the catheter without proper technique or prescription increases the risk of introducing pathogens, leading to peritonitis. Flow obstruction should be addressed with position changes or assessment, not unprescribed flushing. D. My diet will have low fiber to prevent any irritation: A low-fiber diet predisposes the client to constipation, which can obstruct catheter function. Adequate fiber intake promotes bowel regularity, reducing intra-abdominal pressure and supporting effective dialysate flow.

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