Chapter 22 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

Chapter 22 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question.

• The nurse is preparing to perform peritoneal dialysis, and requests the solution to instill, known as: 1)

1. A) B) Dialysate.
2. C) Electrolyte D) Tenckhoff.

Answer: B

Explanation: A)       Dialysate is the solution instilled during dialysis. The solution is an electrolyte solution, but it is called dialysate. Tenckhoff is the name of the peritoneal catheter.

Dialysis refers to the type of procedure.

Cognitive Level: Knowledge

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

1. Dialysate is the solution instilled during The solution is an electrolyte solution, but it is called dialysate. Tenckhoff is the name of the peritoneal catheter.

Dialysis refers to the type of procedure.

Cognitive Level: Knowledge

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

1. Dialysate is the solution instilled during The solution is an electrolyte solution, but it is called dialysate. Tenckhoff is the name of the peritoneal catheter.

Dialysis refers to the type of procedure.

Cognitive Level: Knowledge

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

1. Dialysate is the solution instilled during The solution is an electrolyte solution, but it is called dialysate. Tenckhoff is the name of the peritoneal catheter.

Dialysis refers to the type of procedure.

Cognitive Level: Knowledge

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

Objective: Learning Outcome 22-1: Define the key terms used in the skills of peritoneal dialysis.

 

• The nurse recognizes that what form of peritoneal dialysis can be performed in the home? 2)

1. Intermittent peritoneal dialysis
2. Continuous ambulatory peritoneal dialysis
3. Continuous cycling peritoneal dialysis
4. Continuous ambulatory peritoneal dialysis and continuous cycling peritoneal dialysis

Answer: D

Explanation: A) Both continuous ambulatory peritoneal dialysis and continuous cycling peritoneal dialysis can be performed in the home. Intermittent peritoneal dialysis is usually performed only in the acute care facility.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Planning

1. Both continuous ambulatory peritoneal dialysis and continuous cycling peritoneal dialysis can be performed in the Intermittent peritoneal dialysis is usually performed only in the acute care facility.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Planning

1. Both continuous ambulatory peritoneal dialysis and continuous cycling peritoneal dialysis can be performed in the Intermittent peritoneal dialysis is usually performed only in the acute care facility.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Planning

1. Both continuous ambulatory peritoneal dialysis and continuous cycling peritoneal dialysis can be performed in the Intermittent peritoneal dialysis is usually performed only in the acute care facility.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Planning

Objective: Learning Outcome 22-1: Define the key terms used in the skills of peritoneal dialysis.

• The nurse is caring for a client requiring peritoneal Which of the following could be 3) delegated to the unlicensed assistive personnel (UAP)?

1. A) Hanging the new dialysate fluid B) Assisting with catheter insertion
2. C) Emptying the outflow fluid D) Providing routine care for the client

Answer: D

Explanation: A)      The UAP may help with routine care, such as bathing and feeding the client. The UAP should be taught what information needs to be reported while observing the client’s status. Hanging dialysate fluid requires sterile technique, and should not be delegated to the UAP. Assisting with catheter insertion and emptying of the outflow fluid require assessment skills and use of sterile technique, which would not be appropriate for delegation to the UAP.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. The UAP may help with routine care, such as bathing and feeding the The UAP should be taught what information needs to be reported while observing the client’s status. Hanging dialysate fluid requires sterile technique, and should not be delegated to the UAP. Assisting with catheter insertion and emptying of the outflow fluid require assessment skills and use of sterile technique, which would not be appropriate for delegation to the UAP.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. The UAP may help with routine care, such as bathing and feeding the The UAP should be taught what information needs to be reported while observing the client’s status. Hanging dialysate fluid requires sterile technique, and should not be delegated to the UAP. Assisting with catheter insertion and emptying of the outflow fluid require assessment skills and use of sterile technique, which would not be appropriate for delegation to the UAP.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. The UAP may help with routine care, such as bathing and feeding the The UAP should be taught what information needs to be reported while observing the client’s status. Hanging dialysate fluid requires sterile technique, and should not be delegated to the UAP. Assisting with catheter insertion and emptying of the outflow fluid require assessment skills and use of sterile technique, which would not be appropriate for delegation to the UAP.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

Objective: Learning Outcome 22-2: Recognize when it is appropriate to delegate aspects of peritoneal dialysis to unlicensed assistive personnel.

 

• The nurse would teach the unlicensed assistive personnel (UAP) to report all of the following data 4) except:

1. Client complaints of pain or
2. Fluid leakage from around the catheter insertion
3. Straw-colored outflow
4. Skin irritation at the catheter

Answer: C

Explanation: A) Straw-colored outflow fluid is normal, and would not need to be reported. The remaining data indicate a problem, and the UAP should be instructed to report them to the nurse as soon as possible.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. Straw-colored outflow fluid is normal, and would not need to be The remaining data indicate a problem, and the UAP should be instructed to report them to the nurse as soon as possible.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. Straw-colored outflow fluid is normal, and would not need to be The remaining data indicate a problem, and the UAP should be instructed to report them to the nurse as soon as possible.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. Straw-colored outflow fluid is normal, and would not need to be The remaining data indicate a problem, and the UAP should be instructed to report them to the nurse as soon as possible.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

Objective: Learning Outcome 22-2: Recognize when it is appropriate to delegate aspects of peritoneal dialysis

to unlicensed assistive personnel.