A nurse is caring for a client with acute renal failure who has elevated serum creatinine levels. What is the significance of elevated creatinine levels in this client?

A. Incorrect. Cloudy dialysis fluid may indicate infection or peritonitis, which requires immediate attention and intervention.

B. Correct. Cloudy dialysis fluid may indicate infection or peritonitis, which can be a severe complication of peritoneal dialysis. The nurse should stop the procedure immediately and notify the healthcare provider for further assessment and management.

C. Incorrect. Administering antibiotics without a proper diagnosis and healthcare provider's order is not appropriate.

D. Incorrect. Increasing the dwell time would not address the issue of cloudy dialysis fluid and potential infection.

A. Incorrect. Increasing the rate of dialysis may further lower the client's blood pressure and worsen the situation.

B. Incorrect. Administering an antihypertensive medication during a hypotensive episode could exacerbate the client's low blood pressure.

C. Correct. The nurse's priority action is to stop the dialysis procedure immediately and notify the healthcare provider of the significant drop in blood pressure. The client may be experiencing a hypotensive episode, which requires prompt evaluation and intervention.

D. Incorrect. Increasing the client's

fluid intake is not appropriate during a hypotensive episode, as it may not rapidly improve blood pressure and could lead to fluid overload.