A client with acute renal failure is receiving peritoneal dialysis. The nurse observes cloudy dialysis fluid during the procedure. What action should the nurse take?

Continue the peritoneal dialysis procedure as scheduled.

Stop the procedure immediately and notify the healthcare provider.

Administer antibiotics to prevent infection in the peritoneal cavity.

Increase the dwell time to allow for more effective waste removal.

Answer and Explanation

The Correct Answer is B

A. Incorrect. Cloudy dialysis fluid may indicate infection or peritonitis, which requires immediate attention and intervention.

B. Correct. Cloudy dialysis fluid may indicate infection or peritonitis, which can be a severe complication of peritoneal dialysis. The nurse should stop the procedure immediately and notify the healthcare provider for further assessment and management.

C. Incorrect. Administering antibiotics without a proper diagnosis and healthcare provider's order is not appropriate.

D. Incorrect. Increasing the dwell time would not address the issue of cloudy dialysis fluid and potential infection.

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Correct Answer is C

Explanation

A. Incorrect. Muscle weakness and fatigue are manifestations of hyperkalemia, but they are not the most critical indicators of severe hyperkalemia.

B. Incorrect. Tingling sensations in the extremities are not the most critical indicator of severe hyperkalemia.

C. Correct. The most critical manifestation of severe hyperkalemia is an irregular heart rhythm (dysrhythmiA. , which can be life-threatening.

D. Incorrect. Excessive thirst and dry mucous membranes are not specific to hyperkalemia and are not the most critical indicators of severe hyperkalemia.

A. CRRT allows for more rapid removal of waste products and excess fluids. B. CRRT requires less frequent sessions, providing greater convenience for the client. C. CRRT does not require the use of anticoagulants to prevent blood clotting in the machine. D. CRRT is less expensive and more cost-effective than intermittent hemodialysis.

Correct Answer is C

Explanation

A. Incorrect. Continuous renal replacement therapy (CRRT) provides gradual and continuous removal of waste products and excess fluids from the blood, but it may not be as rapid as intermittent hemodialysis.

B. Incorrect. CRRT typically requires continuous sessions, which may last 24 hours or more. Intermittent hemodialysis involves shorter but more frequent sessions.

C. Correct. One of the primary advantages of CRRT is that it does not require the use of anticoagulants to prevent blood clotting in the machine. This reduces the risk of bleeding and other complications associated with anticoagulant use during hemodialysis.

D. Incorrect. The cost of CRRT and intermittent hemodialysis can vary based on the healthcare setting and the client's needs. The cost-effectiveness depends on individual factors and resource availability.

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A client with acute renal failure is receiving peritoneal dialysis. The nurse observes cloudy dialysis fluid during the procedure. What action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with acute renal failure is at risk of developing hyperkalemia. What clinical manifestation is the most critical indicator of severe hyperkalemia in this client?

Correct Answer is C

Explanation

A client with acute renal failure is receiving continuous renal replacement therapy (CRRT). What is the primary advantage of CRRT compared to intermittent hemodialysis?

Correct Answer is C

Explanation

A nurse is caring for a client with acute renal failure who is experiencing metabolic acidosis. What intervention should the nurse implement to help correct the acid-base imbalance?

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A nurse is caring for a client with acute renal failure who is on bed rest. What intervention should the nurse implement to prevent complications of immobility?

A nurse is providing education to a client about the etiology of acute renal failure. Which statement by the client indicates a correct understanding of the condition?

A nurse is caring for a client with acute renal failure who is undergoing a renal nuclear scan. What information should the nurse provide to the client about this diagnostic test?