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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
A. Lotions, powders, or ointments should be avoided under the harness as they can irritate the skin.
B. This helps protect the skin and keeps the harness clean.
C. Only a healthcare provider should adjust the harness straps. Parents should not attempt to do this.
D. Massage can irritate the skin and should be avoided.
Correct Answer is B
Explanation
A. Amphotericin B is an antifungal medication used to treat serious fungal infections. Impetigo is a bacterial infection and would not be treated with this medication.
B. Impetigo is highly contagious and spread through direct contact. Contact isolation precautions are essential to prevent the spread of the infection to other patients.
C. Healthcare facilities may have internal protocols for reporting certain infections but impetigo is not typically a reportable disease to state health departments.
D. Lidocaine is a local anesthetic and is not indicated for the treatment of impetigo. Antibiotics are the appropriate treatment.
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