A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time. Which of the following actions should the nurse take?

Increase oral fluid intake.

Increase the dwell time during the next dialysis infusion.

Instruct the child to change position.

Assess for a bruit at the site of the peritoneal catheter.

Answer and Explanation

The Correct Answer is C

A.   Increasing oral fluid intake would not necessarily improve dialysate outflow. This could worsen the issue if the problem is related to fluid overload.
B.   Increasing dwell time might allow more time for fluid and waste removal, but it's not the most appropriate action in this case. The primary concern is the lack of outflow, which suggests a potential obstruction or other issue.
C.   Changing the child's position can help to reposition the catheter and improve drainage. This is a reasonable action to try.
D.   A bruit indicates increased blood flow to the area. While it's important to assess for this, it's not the most immediate action to take.

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Correct Answer is B

Explanation

A. Blood products should always be administered through a filtered IV tubing to remove any potential contaminants.
B. Blood products should typically be infused within 4 hours to reduce the risk of bacterial contamination.

C. Dextrose 5% in water can cause hemolysis of red blood cells. Packed RBCs should be infused with normal saline (0.9% sodium chloride).
D. Blood products should be stored at a specific temperature, typically refrigerated, to maintain their viability. Bringing them to room temperature for an extended period can compromise their quality.

A. Bedside computer keyboard B. Protective plastic gowns C. Unopened bottles of formula D. Disposable diapers

Correct Answer is A

Explanation

A. Bedside computer keyboards are frequently touched by healthcare providers, visitors, and sometimes the patient themselves. This constant contact can lead to the accumulation of bacteria and viruses, making it a common source of healthcare-associated infections.
B. While protective gowns can harbor microorganisms, they are typically single-use items and disposed of after each patient, minimizing the risk of infection transmission.
C. Unopened formula bottles are sterile and not a source of infection.
D. Disposable diapers are designed to be hygienic and are not a significant source of infection.

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A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time. Which of the following actions should the nurse take?

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