A client has been admitted into the Dialysis unit to rule out a peritoneal infection. Which of the following clinical findings should the nurse be MOST concerned with when caring for this client?

Weight loss

Swelling in the legs

Itching in the upper chest

Abdominal tenderness

Answer and Explanation

The Correct Answer is D

A. Weight loss is a common concern in clients with chronic kidney disease, but it is not the primary concern in this scenario.

B. Swelling in the legs may occur with renal dysfunction but is less concerning than abdominal tenderness, which is indicative of a possible peritoneal infection.

C. Itching in the upper chest may be a symptom of uremia, but abdominal tenderness is more urgent when ruling out a peritoneal infection.

D. Abdominal tenderness is a key sign of peritoneal infection, which requires immediate attention as it can lead to peritonitis.

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Correct Answer is ["A","B","E"]

Explanation

A. The amount of irrigation fluid used must be added to the total output to accurately calculate fluid balance.

B. Bright red urine or large clots may indicate bleeding, which should be reported to the surgeon immediately.

C. Irrigation solution preparation does not require sterile technique; clean technique is sufficient for this task.

D. A continual need to void could be a normal post-op symptom, but if it persists or is severe, it should be investigated.

E. Ensuring the drainage tubing is patent and unobstructed is essential for proper urine flow and preventing complications.

A. Weight gain B. Creatinine level of 1.0 (0.6-1.2 mg/dL) C. GFR of 100 mL/min (>90 ml/min) D. Weight loss

Correct Answer is D

Explanation

A. Weight gain is typically seen in the oliguric phase, not the diuresis phase. In the diuresis phase, the client is excreting excess fluid, leading to weight loss.

B. A creatinine level of 1.0 is within the normal range and would not be expected during the diuresis phase of acute kidney injury, when creatinine levels would still be elevated.

C. GFR of 100 mL/min is normal, but in acute kidney injury, the GFR would be decreased. A GFR above 90 mL/min would not be expected in the diuresis phase.

D. Weight loss is a key finding in the diuresis phase due to the loss of excess fluids as the kidneys begin to recover.

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A client has been admitted into the Dialysis unit to rule out a peritoneal infection. Which of the following clinical findings should the nurse be MOST concerned with when caring for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is day post-op following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which actions should the nurse take? (Select a that apply)

Correct Answer is ["A","B","E"]

Explanation

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Correct Answer is D

Explanation

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