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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. Loop diuretics can cause potassium loss and potentially lead to hypokalemia. The nurse should monitor the client's serum potassium levels frequently to assess for any imbalances.
B. Incorrect. While loop diuretics can be given intravenously for rapid action, the administration route depends on the client's condition and the healthcare provider's order.
C. Incorrect. Loop diuretics are used to promote diuresis and fluid removal from the body. Encouraging fluid restriction while on diuretic therapy may exacerbate dehydration and electrolyte imbalances.
D. Incorrect. The timing of loop diuretic administration is determined by the healthcare provider's order and the client's specific needs. Taking diuretics at bedtime may result in increased nighttime urination and sleep disruption.
QUESTIONS
Correct Answer is D
Explanation
A. Incorrect. Loop diuretics are used to increase urine output, not decrease it. They help reduce fluid overload and prevent dehydration.
B. Incorrect. Loop diuretics typically lead to a decrease in blood pressure, not an increase. They are often prescribed to address hypertension in acute renal failure.
C. Incorrect. Loop diuretics promote the excretion of sodium and water from the kidneys, not their reabsorption.
D. Correct. Loop diuretics are prescribed in acute renal failure to increase urine output and promote fluid excretion. This helps reduce fluid overload and decrease edema.
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