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 D
Explanation
A) This statement is incorrect. Dialysis does not restore normal kidney function. Instead, it serves as a substitute for impaired kidney function, helping to maintain fluid and electrolyte balance.
B) This statement is incorrect. Dialysis is not a surgical procedure to transplant a healthy kidney. Kidney transplantation is a separate procedure that involves replacing a damaged kidney with a healthy one from a living or deceased donor.
C) This statement is incorrect. Dialysis may help manage complications of CKD and prolong life, but it does not prevent the progression of the underlying kidney disease. CKD is a chronic and progressive condition that may eventually require dialysis or kidney transplantation.
D) This statement is accurate. Dialysis is the process of removing waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions adequately.
Correct Answer is D
Explanation
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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