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 C

Explanation

A) This statement is incorrect. Peritoneal dialysis does not use a machine to filter blood outside of the body; that description is characteristic of hemodialysis.

B) This statement is incorrect. Peritoneal dialysis does not involve the removal of the peritoneal membrane; instead, it uses the peritoneal membrane in the abdomen to filter waste.

C) This statement is accurate. Peritoneal dialysis uses the peritoneal membrane in the abdomen as a semipermeable membrane to filter waste products and excess fluids from the blood.

D) This statement is incorrect. Peritoneal dialysis does not require a catheter to be inserted into the bladder. Instead, it uses a catheter to infuse and drain dialysate into and out of the peritoneal cavity.

A. Offer the client hard candies or mints to alleviate the taste. B. Assess the client's recent dietary and medication changes. C. Provide the client with an oral rinse to refresh the taste buds. D. Administer a prescribed antiemetic medication.

Correct Answer is B

Explanation

A. Incorrect. Offering hard candies or mints may provide temporary relief from the metallic taste, but it does not address the underlying cause.

B. Correct. A persistent metallic taste in the mouth can be caused by various factors, such as dietary changes, medication side effects, or biochemical imbalances. Assessing the client's recent dietary and medication changes can help identify the potential cause.

C. Incorrect. Providing an oral rinse may offer temporary relief, but it does not address the underlying cause of the metallic taste.

D. Incorrect. Administering an antiemetic medication is not indicated for a metallic taste in the mouth, as it is not associated with nausea or vomiting.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client who will be starting peritoneal dialysis. The client asks, "How does peritoneal dialysis work?" Which of the following responses by the nurse is accurate?

Correct Answer is C

Explanation

A nurse is caring for a client with end-stage renal disease on dialysis. The client develops a persistent metallic taste in the mouth. What should the nurse do first?

Correct Answer is B

Explanation

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