A client receiving peritoneal dialysis reports cloudy dialysate effluent during an exchange. What should the nurse do first?

Collect a sample of the effluent for culture and sensitivity testing.

Instruct the client to stop the exchange immediately.

Notify the healthcare provider about the cloudy effluent.

Encourage the client to perform another exchange.

Answer and Explanation

The Correct Answer is C

A. Incorrect. Collecting a sample of the effluent for culture and sensitivity testing may be necessary, but notifying the healthcare provider about the finding should be done first.

B. Incorrect. Stopping the exchange immediately may be necessary in some cases, but the nurse should first communicate the finding to the healthcare provider for further assessment and guidance.

C. Correct. Cloudy dialysate effluent may indicate peritonitis, an infection of the peritoneal cavity, which requires immediate attention and treatment by the healthcare provider.

D. Incorrect. Encouraging the client to perform another exchange without further assessment can potentially exacerbate any underlying issue causing the cloudy effluent.

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Correct Answer is B

Explanation

A) This statement is incorrect. Increasing the dialysis session duration would not address the client's muscle cramps and may lead to further fluid and electrolyte imbalances.

B) This statement is accurate. Muscle cramps during hemodialysis are often caused by the cooling effect of the dialysate solution. Increasing the temperature of the dialysate can help alleviate the cramps.

C) This statement is incorrect. Decreasing the dialysate solution flow rate may not directly address the muscle cramps and may impact the effectiveness of the dialysis treatment.

D) This statement is incorrect. Administering an anticoagulant medication is not indicated for muscle cramps during hemodialysis. Anticoagulants are used to prevent blood clots during the procedure but would not alleviate muscle cramps.

A. "Peritoneal dialysis uses a machine to filter blood outside of your body." B. "Peritoneal dialysis involves the removal of the peritoneal membrane to filter waste." C. "Peritoneal dialysis uses the peritoneal membrane in your abdomen to filter waste." D. "Peritoneal dialysis requires a catheter to be inserted into your bladder to remove toxins."

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.

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A client receiving peritoneal dialysis reports cloudy dialysate effluent during an exchange. What should the nurse do first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client on hemodialysis reports experiencing muscle cramps during the procedure. Which intervention should the nurse implement?

Correct Answer is B

Explanation

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

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