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.
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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Related Questions
Correct Answer is C
Explanation
A. Incorrect. Acute renal failure is not a chronic condition; it is an acute condition that develops rapidly and is typically reversible with prompt treatment.
B. Incorrect. While long-term uncontrolled diabetes can lead to chronic kidney disease, acute renal failure is not caused by chronic kidney damage related to diabetes.
C. Correct. Acute renal failure, also known as acute kidney injury (AKI), is characterized by a sudden and temporary loss of kidney function. It is often caused by factors such as decreased blood flow to the kidneys, kidney damage, or obstruction of the urinary tract.
D. Incorrect. While the statement is partially true, it does not capture the acute and sudden nature of acute renal failure. The inability of the kidneys to filter waste products from the blood is one of the manifestations of AKI.
Correct Answer is A
Explanation
A. Correct. Hypertension (high blood pressurE. is a significant risk factor for the development of acute renal failure. Elevated blood pressure can damage the blood vessels in the kidneys and impair kidney function.
B. Incorrect. Osteoporosis is not directly related to the development of acute renal failure. Osteoporosis is a condition characterized by weak and brittle bones.
C. Incorrect. While type 2 diabetes is a risk factor for chronic kidney disease, it is not a common risk factor for the development of acute renal failure.
D. Incorrect. Seasonal allergies are not associated with an increased risk of acute renal failure.
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