What does "nocturnal intermittent peritoneal dialysis" mean for a new client with CKD?

Nocturnal intermittent peritoneal dialysis refers to a specific treatment regimen for individuals with chronic kidney disease (CKD) where dialysis occurs during the night. The process involves the use of a machine that performs multiple exchanges while the patient sleeps. The correct answer indicates that the machine will provide 3-5 exchanges every night with minimal or no dwelling during the day, which aligns with the concept of "intermittent" therapy.

This ensures that the patient receives sufficient dialysis overnight to remove waste products and excess fluid from the body while allowing for rest and minimizing the need for treatments during waking hours. The idea behind this regimen is to enhance the patient’s quality of life by avoiding daily burdens associated with continuous dialysis while still effectively managing CKD.

The other responses do not accurately depict the nature of nocturnal intermittent peritoneal dialysis. Option B suggests a weekly schedule with dry periods, which is not reflective of the nightly routine. Option C incorrectly implies that there would be a full diurnal dwell, which contradicts the notion of intermittent therapy. Finally, option D discusses tidal volumes and routines that are not relevant to the concept of nocturnal intermittent peritoneal dialysis as it pertains to the treatment regimen described.