Question

Which information will be included when the nurse is teaching self-management to a patient who is receiving peritoneal dialysis? (Select all that apply.)

A. Avoid commercial salt substitutes.
B. Restrict fluid intake to 1000 mL daily.
C. Take phosphate binders with each meal.
D. Choose high-protein foods for most meals.
E. Have several servings of dairy products daily.

Answer 1

Peritoneal dialysis self-management includes avoiding salt substitutes, taking phosphate binders with meals, and eating high-protein foods. Fluid intake and dairy consumption should be tailored individually.

Step-by-step explanation:

When teaching a patient who is on peritoneal dialysis about self-management, several key points need to be covered, including dietary restrictions and medication adherence. The correct information to be included is:

• A. Avoid commercial salt substitutes as they often contain potassium, which may need to be limited in patients with renal failure.
• C. Take phosphate binders with each meal to help control the levels of phosphate in the blood, as kidney function is compromised.
• D. Choose high-protein foods for most meals because protein can be lost during dialysis treatments, and patients need to compensate for this loss.

Restricting fluid intake (B) depends on the individual patient's needs and should be determined by the healthcare provider. Having several servings of dairy products (E) is not necessarily recommended because dairy products are high in phosphate, which can accumulate in the body when kidney function is impaired.