A female client with chronic kidney disease (CKD) is receiving peritoneal dialysis with 2-L inflows. Which information should the nurse report promptly to the health care provider?

The client's peritoneal effluent appears cloudy.

The client has an outflow volume of 1800 mL.

The client has abdominal pain during the inflow phase.

The client's abdomen appears bloated after the inflow.

Answer and Explanation

The Correct Answer is A

Cloudy peritoneal effluent may indicate infection or peritonitis, which is a severe complication of peritoneal dialysis. Peritonitis can be life-threatening and requires immediate medical attention. The nurse should report this finding promptly to the health care provider for further evaluation and intervention.

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Correct Answer is A

Explanation

Among the given laboratory test results for a client with recently diagnosed hypertension, the most important result to communicate to the health care provider is option (A), "Serum creatinine of 2.8 mg/dL."

Serum creatinine is a measure of kidney function, and a value of 2.8 mg/dL indicates elevated creatinine levels. Elevated serum creatinine is a concerning finding, as it suggests decreased kidney function or kidney impairment. Hypertension can have a significant impact on the kidneys, and kidney damage is a common complication of uncontrolled high blood pressure.

The kidneys play a crucial role in regulating blood pressure by excreting waste products and excess fluids from the body. When kidney function is compromised due to hypertension, it can further worsen the blood pressure control, leading to a vicious cycle of kidney damage and worsening hypertension.

Option (B), "Serum hemoglobin of 14.7 g/dL," is within the normal range and does not indicate an immediate concern related to the client's hypertension.

Option (C), "Blood glucose level of 96 mg/dL," is also within the normal range for blood glucose and may not be directly related to the client's hypertension.

Option (D), "Serum potassium of 4.5 mEq/L," is within the normal range. While potassium levels are essential to monitor, they are not the most critical concern compared to kidney function in this context.

The elevated serum creatinine level suggests a potential complication of hypertension, namely kidney damage or decreased kidney function. Therefore, it is essential to communicate this finding promptly to the health care provider for further evaluation and appropriate management to address the client's kidney health and optimize blood pressure control.

A. Jugular vein atherosclerosis B. Increased fluid volume C. Decreased fluid volume D. Incompetent jugular vein valves

Correct Answer is B

Explanation

Jugular venous distention (JVD) is a clinical sign that indicates increased fluid volume or fluid overload in the cardiovascular system. When the head of the client's bed is elevated at 45 degrees, the jugular veins should normally be flat or slightly distended. However, if the jugular veins appear engorged and bulging, it suggests that there is an increased amount of blood returning to the right side of the heart and is unable to be efficiently pumped forward, leading to jugular venous distention.

JVD is commonly seen in conditions such as heart failure, where the heart's ability to pump blood efficiently is compromised, leading to fluid accumulation in the veins and eventually causing jugular venous distention.

Option A, jugular vein atherosclerosis, is not a common cause of JVD. Atherosclerosis refers to the build-up of plaque within arteries, not veins.

Option C, decreased fluid volume, would lead to dehydration and decreased venous filling, which would not cause jugular venous distention. It would lead to flat or sunken jugular veins.

Option D, incompetent jugular vein valves, would not cause jugular venous distention with the head of the bed elevated. Incompetent valves may lead to venous reflux or backward flow of blood, but it would not lead to the distention of the jugular veins in this position.

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A female client with chronic kidney disease (CKD) is receiving peritoneal dialysis with 2-L inflows. Which information should the nurse report promptly to the health care provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing the laboratory test results for a client who has recently been diagnosed with hypertension. Which result is most important to communicate to the health care provider?

Correct Answer is A

Explanation

While assessing an older adult client, the nurse notes jugular venous distention (JVD) with the head of the client's bed elevated 45 degrees. What does this finding indicate?

Correct Answer is B

Explanation

Which assessment finding of a patient with chronic kidney disease indicates to the nurse that hemodialysis is having the desired effect?

Which topic will the nurse plan to include in discharge teaching for a client who has heart failure with reduced ejection fraction?

The nurse identifies that a patient with chronic kidney disease is at risk for which electrolyte disturbance?

The nurse is assessing a client who has been admitted to the intensive care unit (ICU) with a hypertensive emergency. Which finding is most important to report to the health care provider?

Which patient is most likely to develop chronic kidney disease (CKD) and should be taught preventive measures by the nurse?

The nurse is caring for a patient with manifestations of acute decompensated heart failure (ADHF). What is the priority nursing assessment?

A nurse is assessing a client who has end-stage kidney disease and is receiving hemodialysis. Which of the following findings should the nurse identify as an indication the client is experiencing fluid overload?