A female patient with chronic kidney disease (CKD) is receiving peritoneal dialysis with 2-4 inflows. Which information should the nurse report promptly to the health care provider?
The patient's peritoneal effluent appears cloudy.
The patient has an outflow volume of 1800 ml.
The patient has abdominal pain during the inflow phase
The patient's abdomen appears bloated after the inflow
The Correct Answer is A
A. The patient's peritoneal effluent appears cloudy: Cloudy effluent is a key indicator of peritonitis, a serious complication of peritoneal dialysis. Early recognition and prompt reporting are critical to initiate antibiotic therapy and prevent systemic infection or sepsis.
B. The patient has an outflow volume of 1800 ml: Variations in outflow volume can occur depending on the amount of dialysate instilled and individual patient factors. This finding alone, if within expected limits, does not indicate an immediate complication requiring urgent intervention.
C. The patient has abdominal pain during the inflow phase: Mild abdominal discomfort during inflow is common due to the introduction of dialysate. While persistent or severe pain should be monitored, it does not automatically indicate peritonitis or require urgent reporting.
D. The patient's abdomen appears bloated after the inflow: Temporary abdominal distension is typical as the dialysate fills the peritoneal cavity. This finding usually resolves once the fluid equilibrates and is not an urgent concern unless accompanied by other symptoms like cloudy effluent or severe pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Blood pressure 98/56 mm Hg: A slightly low blood pressure is not a contraindication to epoetin alfa administration. The major concern with this medication is hypertension, not hypotension, so this finding would not prevent giving the dose.
B. Creatinine 1.6 mg/dL: Elevated creatinine is expected in end-stage kidney disease and does not affect the decision to administer epoetin alfa. This medication is used specifically to manage anemia related to chronic kidney disease.
C. Oxygen saturation 89%: A low oxygen saturation reflects hypoxemia, but epoetin alfa does not treat oxygenation problems directly. Supplemental oxygen and pulmonary assessment would be the priority, but this finding is not a contraindication to giving the drug.
D. Hemoglobin level 13 g/dL: Epoetin alfa stimulates red blood cell production, and giving it when hemoglobin is already elevated increases the risk of serious adverse effects such as thrombosis, stroke, and hypertension. Reporting this value is essential drug administration.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"A,B"}}
Explanation
- Educating on limiting foods high in phosphorus is more specific to chronic kidney disease, where impaired renal excretion causes long-term hyperphosphatemia. This education helps prevent complications such as renal osteodystrophy and secondary hyperparathyroidism that occur in progressive CKD.
- Administering corticosteroids for nephrotic syndrome may be relevant in both acute and chronic presentations because nephrotic syndrome can occur as a complication of glomerular injury. Corticosteroids help reduce inflammation and proteinuria regardless of whether the renal impairment is acute or chronic.
- Ensuring informed consent for renal diagnostic procedures applies to both AKI and CKD since clients with either condition may require imaging, biopsy, or dialysis access placement. Informed consent ensures patient understanding and legal protection while promoting safety in invasive interventions.
- Monitoring fluid intake and output is essential in both AKI and CKD because altered kidney function leads to fluid imbalance. Careful monitoring helps guide fluid restriction or replacement, prevents overload, and assists in evaluating renal function changes over time.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.