A nurse in a mental health facility is assessing a client.

Exhibits

For each client assessment finding, click to specify if the finding is a potential risk for suicide or a protective factor against suicide.

A. "You should anticipate pain the first week during the inflow of dialysate." This is correct. It is common for clients performing peritoneal dialysis to experience some discomfort during the inflow of dialysate, especially during the first week as they adjust to the procedure. The discomfort is typically mild and temporary, and it can be alleviated by slowing the inflow rate or adjusting the position of the catheter.
B. "You should expect redness at the catheter exit site." This is incorrect. While mild redness may occur occasionally, persistent redness, warmth, swelling, or discharge could indicate an infection at the catheter site. In that case, the client should seek medical advice promptly. The nurse should encourage proper hygiene and care of the catheter site to prevent infection.
C. "You should warm the dialysate in a microwave oven before instillation." This is incorrect. Dialysate should not be warmed in a microwave, as uneven heating could cause injury to the client. Dialysate should be warmed using a specialized heating pad or in a warm water bath to prevent burns or discomfort.
D. "You should avoid foods high in fiber." This is incorrect. There is no need to avoid high-fiber foods unless specifically directed by the healthcare provider. Fiber is generally beneficial for digestive health, but clients on peritoneal dialysis may need to monitor their fluid and diet intake depending on their individual condition.

A. ECG can detect complications like bradycardia or QT prolongation, but does not in itself indicate progress unless compared over time. It's more useful as a diagnostic tool than a treatment response marker.
B. Weight gain is one of the most reliable markers of recovery in anorexia nervosa. If the client is gaining weight steadily as part of a refeeding plan, it strongly indicates progress.
C. Sodium level: Electrolyte imbalances (such as hyponatremia) are common due to malnutrition and purging behaviors. A normalized sodium level indicates physiological recovery.
D. Respiratory assessment: Improvement in respiratory rate (from 24 → 20/min) and increased SpO2 (93% → 96%) suggest better respiratory and overall metabolic function.
E. Temperature: An increase in body temperature indicates improvement in metabolic rate and nutritional status, both of which are impaired in severe malnutrition.
F. Creatinine level reflects kidney function and muscle mass. Improvement or normalization of creatinine levels is a positive sign of physiological restoration in anorexia.