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 D
Explanation
Choice A reason: Bright light sensitivity is a common side effect following cataract surgery and can be managed with appropriate measures such as wearing sunglasses. It does not necessarily indicate a complication requiring immediate reporting.
Choice B reason: Difficulty seeing with a patch on one eye and fear of falling are valid concerns, but they do not necessarily indicate an immediate complication that requires urgent reporting to the healthcare provider.
Choice C reason: Eye itching is common after cataract surgery, and the client should be advised not to rub the eye to prevent infection or damage. This comment does not indicate a severe complication that needs immediate reporting.
Choice D reason: Severe eye pain that the client cannot stand is a potential sign of a serious complication, such as increased intraocular pressure, infection, or other postoperative issues. This requires immediate attention from the healthcare provider to prevent further complications and ensure the client's safety.
Correct Answer is B
Explanation
Choice A reason: Lying on the side with the head of the bed at 30 degrees may provide some comfort but is not the most effective position for easing breathing in COPD patients. Sitting upright allows for better lung expansion.
Choice B reason: Sitting on the edge of the bed with the arms supported is known as the tripod position. This position helps patients with COPD breathe more easily by allowing the diaphragm to move more freely and reducing the work of breathing.
Choice C reason: Laying in a supine position with arms crossed is not beneficial for COPD patients. This position can restrict lung expansion and make breathing more difficult.
Choice D reason: Sleeping in a prone position with legs elevated is not recommended for COPD patients. It can further restrict breathing and is uncomfortable for patients with respiratory issues.
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