A client on peritoneal dialysis reports experiencing abdominal pain and fever. What should the nurse do first?
Instruct the client to increase fluid intake.
Assist the client with a peritoneal fluid exchange.
Administer an over-the-counter pain reliever.
Obtain a peritoneal fluid sample for testing.
The Correct Answer is D
A. Incorrect. Instructing the client to increase fluid intake may not address the underlying cause of abdominal pain and fever in a client on peritoneal dialysis.
B. Incorrect. Assisting the client with a peritoneal fluid exchange is not the priority when the client is experiencing abdominal pain and fever, as it may exacerbate the symptoms.
C. Incorrect. Administering an over-the-counter pain reliever may provide temporary relief, but it does not address the underlying cause of the symptoms.
D. Correct. Abdominal pain and fever in a client on peritoneal dialysis may indicate peritonitis, an infection of the peritoneal cavity. Obtaining a peritoneal fluid sample for testing is essential to confirm the diagnosis and initiate appropriate treatment promptly.
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Related Questions
Correct Answer is C
Explanation
A. Incorrect. Protein intake is essential for maintaining body functions, but clients on dialysis may need to adjust their protein intake based on their individual needs and dialysis prescription.
B. Incorrect. Clients on dialysis may need to limit their sodium intake to manage fluid retention and blood pressure.
C. Correct. Clients on dialysis often need to avoid potassium-rich foods to prevent hyperkalemia, as the kidneys are unable to adequately remove excess potassium from the blood.
D. Incorrect. Clients on dialysis typically need to restrict their phosphorus intake to prevent complications related to high phosphorus levels, such as bone disease and cardiovascular issues.
Correct Answer is A
Explanation
A) The client's symptoms of dizziness and weakness may indicate hypotension (low blood pressure). The nurse should first check the client's blood pressure and pulse rate to assess for hypotension before implementing further interventions.
B) This statement is incorrect. Administering an antiemetic medication would not address the reported symptoms of dizziness and weakness, which may be related to changes in blood pressure.
C) This statement is incorrect. Increasing the rate of fluid removal during dialysis may exacerbate the client's symptoms of dizziness and weakness and may lead to hypotension (low blood pressure).
D) This statement is incorrect. Elevating the client's legs may help improve blood flow, but it does not address the underlying cause of the reported symptoms. The nurse should first check the client's blood pressure and pulse rate to assess for hypotension before implementing further interventions.
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