Medical Surgical Dialysis #5

Question

The nurse provides hospital discharge instruction on preventing infection to a client on dialysis. Which statement by the client indicates understanding on infection prevention? Select all that apply.

Answers

  1. “I will keep the catheter bandage clean and dry.”
    • Rationale:

      This answer is correct because the bandage over the catheter should be kept clean and dry; therefore, this statement indicates a correct understanding of infection prevention and control the client should implement at home when hemodialysis is required.

  2. “I will make sure all visitors in my home wear masks to protect me.”
    • Rationale:

      This answer is not correct because there is no reason for visitors in the house to wear a mask to prevent the spread of infection; however, anyone who accesses the hemodialysis site should wear a mask.

  3. “I will check my vascular access daily for redness, pus, or swelling.”
    • Rationale:

      This answer is correct because checking the vascular access site for symptoms of infection (e.g., therefore, redness, purulent drainage, and edema) is appropriate; therefore, this statement indicates a correct understanding of infection prevention and control the client should implement at home when hemodialysis is required.

  4. “All people at my home including me will keep hands washed followed by gel sanitizer.”
    • Rationale:

      This answer is correct because hand hygiene is essential to prevent the spread of microbes; therefore, this statement indicates a correct understanding of infection prevention and control the client should implement at home when hemodialysis is required.

  5. “I will not scratch my skin or pick at scabs.”
    • Rationale:

      This answer is correct because the skin is the first line of defense against infection. It is important to not scratch or pick at scabs on the skin so as to keep the skin intact.

Overview

Hemodialysis is a medical procedure to remove fluid and waste products from the blood and to correct electrolyte imbalances.Instruction for infection prevention at home includes checking vascular access daily, keeping any type of bandage clean and dry, and ensuring that good handwashing and use of hand gel sanitizer is maintained at home.

Explanation

Learning Outcomes

Hemodialysis increases the client’s risk for infection. Therefore, the nurse must provide the client with teaching regarding methods to prevent infection and clinical manifestations that could be indicative of infection. Instruction for infection prevention at home includes checking vascular access daily, keeping any type of bandage clean and dry, and ensuring that good handwashing and use of hand gel sanitizer is maintained at home.

Test Taking Tip

Consider each statement as true or false regarding infection prevention practices in the home for the client who receives hemodialysis to answer this question correctly.

Video Rationale