A nurse is caring for a client who is undergoing initial peritoneal dialysis. Which of the following should the nurse
report immediately to the provider?
Blood-tinged dialysate outflow
Dialysate leakage during inflow
Report of discomfort during dialysate inflow
Purulent dialysate outflow
The Correct Answer is D
Choice A reason: Blood-tinged dialysate outflow can occur initially due to the surgical procedure and is not typically a cause for immediate concern unless it persists or is accompanied by other symptoms.
Choice B reason: Dialysate leakage during inflow might indicate a problem with the catheter placement or integrity but is not usually an emergency. It should be monitored and reported if it continues.
Choice C reason: Discomfort during dialysate inflow is common, especially in new patients, as they adjust to the sensation of fluid being infused. It should be reported if the discomfort is severe or persistent.
Choice D reason: Purulent dialysate outflow indicates an infection, such as peritonitis, which is a serious complication
of peritoneal dialysis. This requires immediate atention and intervention by the healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["50"]
Explanation
Step 1: The total amount of phenytoin required per dose is 250 mg.
Step 2: Each 5 mL of oral solution contains 25 mg of phenytoin.
Step 3: To find out how many mL are needed, we divide the total amount required by the amount in each 5 mL of oral solution. So, (250 mg ÷ 25 mg/5 mL).
Step 4: The result is 50 mL.
So, the nurse should administer 50 mL per dose. This is already a whole number, so no rounding is necessary.
Correct Answer is B
Explanation
Choice A reason: Muscle spasms are not typically associated with aluminum hydroxide use.
Choice B reason: Constipation is a common adverse effect of aluminum hydroxide, especially when used as a
phosphate binder in clients with renal failure.
Choice C reason: Headaches are not commonly reported as an adverse effect of aluminum hydroxide.
Choice D reason: A metallic taste is not a common adverse effect associated with aluminum hydroxide.
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