A client on peritoneal dialysis is experiencing cloudy dialysate drainage. Which of the following actions should the nurse take first?

Document the finding and continue monitoring the client.

Administer an antibiotic medication.

Increase the dialysis exchange frequency.

Check the client's vital signs and assess for abdominal pain.

Answer and Explanation

The Correct Answer is D

A) This statement is incorrect. Cloudy dialysate drainage may indicate infection or peritonitis, and the nurse should not simply document the finding and continue monitoring without further assessment.

B) This statement is incorrect. Administering an antibiotic medication without a definitive diagnosis is not appropriate. The nurse should assess the client further to determine the cause of the cloudy drainage.

C) This statement is incorrect. Increasing the dialysis exchange frequency would not address the issue of cloudy dialysate drainage and may not be indicated without a proper assessment.

D) This statement is correct. Cloudy dialysate drainage may indicate infection or peritonitis. The nurse should check the client's vital signs and assess for signs of abdominal pain or tenderness, as this requires immediate evaluation.

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Correct Answer is D

Explanation

A) This statement is incorrect. Infection is not a rare complication of peritoneal dialysis. It is a common risk that requires proactive measures to prevent.

B) This statement is incorrect. While infections can occur and may be treatable with antibiotics, it is essential to focus on prevention and maintaining aseptic technique.

C) This statement is incorrect. Taking antibiotics regularly to prevent infection is not the standard practice for clients on peritoneal dialysis. Antibiotics are typically prescribed to treat infections when they occur, not as a preventive measure.

D) This statement is accurate. Infection is a significant risk for clients on peritoneal dialysis due to the direct access to the peritoneal cavity through the catheter. Strict aseptic technique is crucial to prevent infections.

A. Serum calcium levels B. Blood urea nitrogen (BUN) levels C. Hemoglobin and hematocrit levels D. Serum potassium levels

Correct Answer is C

Explanation

A) This statement is incorrect. Serum calcium levels are not directly related to ESA therapy for anemia management. ESA therapy focuses on increasing red blood cell production.

B) This statement is incorrect. Blood urea nitrogen (BUN) levels are indicators of kidney function and may be monitored for other reasons in a client on hemodialysis. However, they are not directly related to ESA therapy for anemia management.

C) This statement is accurate. During ESA therapy, the nurse should closely monitor the client's hemoglobin and hematocrit levels. ESAs stimulate the production of red blood cells and can increase hemoglobin and hematocrit levels. Regular monitoring is essential to prevent anemia or excessive increases in these values.

D) This statement is incorrect. Serum potassium levels may be monitored for a client on hemodialysis due to the potential for electrolyte imbalances, but they are not the primary concern during ESA therapy for anemia management.

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A client on peritoneal dialysis is experiencing cloudy dialysate drainage. Which of the following actions should the nurse take first?

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Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client who will be performing peritoneal dialysis at home. The client asks about the risk of infection. Which of the following responses by the nurse is accurate?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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