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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: Periorbital edema, dark frothy urine, and elevated blood pressure are more indicative of conditions like nephrotic syndrome rather than kidney stones.

Choice B reason: Severe flank pain, nausea, and vomiting are classic symptoms associated with kidney stones, and such clients should be educated on kidney stone prevention.

Choice C reason: Polyuria, nocturia, proteinuria, and a palpable kidney mass could suggest other renal issues, but not specifically kidney stones.

Choice D reason: Urinary urgency, weak urine stream, and dysuria could be symptoms of a urinary tract infection or prostate issues in males, rather than kidney stones.

A. Increased urinary output B. Bradycardia C. Nausea and vomiting D. Hyperactive bowel sounds

Correct Answer is C

Explanation

Choice A reason: Increased urinary output is not typically associated with peritonitis, especially during peritoneal

dialysis.

Choice B reason: Bradycardia, or a slow heart rate, is not a common manifestation of peritonitis.

Choice C reason: Nausea and vomiting are common symptoms of peritonitis and should be monitored in clients

receiving peritoneal dialysis.

Choice D reason: Hyperactive bowel sounds are not specifically indicative of peritonitis; they can be associated with a variety of gastrointestinal conditions.

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A nurse is caring for a client who is undergoing initial peritoneal dialysis. Which of the following should the nursereport immediately to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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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?