A nurse is caring for a client who is undergoing peritoneal dialysis. What should the nurse report IMMEDIATELY to the provider?
Clear-colored outflow
Outflow amount exceeds inflow amount
Cloudy opaque colored outflow
Non-purulent outflow
The Correct Answer is C
Choice A reason: Clear-colored outflow is normal and indicates that the dialysis process is functioning correctly.
Choice B reason: Outflow amount exceeding inflow amount may be noted and reported, but it is not an immediate cause for concern unless accompanied by other symptoms.
Choice C reason: Cloudy opaque colored outflow indicates possible peritonitis, an infection of the peritoneum. This is a serious complication that requires immediate medical attention to prevent further complications.
Choice D reason: Non-purulent outflow is not an immediate cause for concern and indicates that there is no infection present.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A reason: A high purine diet is a risk factor for gout because purines are metabolized into uric acid, which can accumulate and form crystals in the joints.
Choice B reason: Being well-hydrated is not a risk factor for gout; in fact, adequate hydration helps prevent gout attacks by diluting and promoting the excretion of uric acid.
Choice C reason: Diuretic use can increase the risk of gout by reducing the kidneys' ability to excrete uric acid, leading to higher levels in the blood.
Choice D reason: Starvation dieting can lead to an increase in uric acid production, raising the risk of gout attacks.
Choice E reason: Having a normal BMI is not a risk factor for gout. Obesity is a known risk factor, while maintaining a healthy weight can reduce the risk of developing gout.
Correct Answer is B
Explanation
Choice A reason: While treating the injuries is important, addressing the root cause of abuse is crucial for the client's safety. Simply treating the injuries without addressing the abuse may allow the cycle of harm to continue.
Choice B reason: Reporting the abuse is a legal and ethical responsibility for healthcare providers. Ensuring the client's safety and providing necessary interventions to stop the abuse is paramount.
Choice C reason: Calling the emergency department is not the correct response. The nurse should follow the proper protocol for reporting abuse, which involves notifying social services or other relevant authorities.
Choice D reason: Keeping the information in confidence is not appropriate when dealing with abuse cases. The nurse must act to protect the client and report the abuse to prevent further harm.
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