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 A

Explanation

A. Phototherapy can increase a newborn's body temperature. Frequent monitoring is essential to prevent overheating.
B. Mittens may be used but their use is not directly related to phototherapy.
C. Applying lotion can interfere with the effectiveness of phototherapy. The newborn's skin should be kept clean and dry.
D. The newborn's eyes should be checked more frequently, typically every 4 hours, to monitor for any irritation or inflammation caused by the light.

A. "Use a soft-bristled toothbrush when platelet levels are low." B. "Encourage eating by providing your child with their favorite foods." C. "Rinse your child's mouth with chlorhexidine mouthwash if they develop stomatitis." D. "Ensure you administer an antiemetic for 12 hr after chemotherapy."

Correct Answer is A

Explanation

A. Chemotherapy can decrease platelet count, increasing the risk of bleeding. A soft-bristled toothbrush helps prevent gum bleeding.
B. This might help stimulate appetite but it doesn't address the specific concerns related to chemotherapy side effects.
C. If stomatitis develops, which is a painful inflammation and ulceration of the mouth, rinsing with a mild saline solution is generally recommended rather than chlorhexidine mouthwash, which can sometimes cause irritation.
D. Antiemetics should be administered as needed based on the child's symptoms, not on a fixed schedule.

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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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