Which of the following are vital signs monitoring considerations for a patient undergoing peritoneal dialysis? (Select all that apply)
Monitor respiratory rate for anomalies
Monitor blood pressure for fluctuations
Check pulse oximetry regularly
Regularly check blood glucose levels
Assess urine output for changes
Monitor dally weight for fluid retention
Observe skin color and temperature changes
Correct Answer : A,B,C,F,G
A. Monitor respiratory rate for anomalies: Respiratory rate should be monitored because instilled dialysate can increase intra-abdominal pressure, impairing diaphragmatic movement and leading to breathing difficulties.
B. Monitor blood pressure for fluctuations: Blood pressure must be assessed closely since fluid shifts during peritoneal dialysis can lead to hypotension or hypertension, reflecting fluid imbalance.
C. Check pulse oximetry regularly: Pulse oximetry is important because decreased lung expansion from abdominal fluid can cause hypoxemia, especially in patients with preexisting respiratory compromise.
D. Regularly check blood glucose levels: Blood glucose monitoring is primarily emphasized in diabetic patients, since glucose-containing dialysate can elevate levels, but it is not a standard vital signs parameter.
E. Assess urine output for changes: Urine output may decline in end-stage renal disease patients, but it is not considered part of routine vital signs monitoring during dialysis treatment.
F. Monitor daily weight for fluid retention: Daily weight is a critical measure of fluid balance, helping evaluate dialysis effectiveness and detect early signs of fluid overload or inadequate ultrafiltration.
G. Observe skin color and temperature changes: Monitoring skin color and temperature helps identify early signs of infection, hypoperfusion, or sepsis, making this an important component of vital signs assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bradycardia: Bradycardia is not a typical manifestation of peritonitis in clients receiving peritoneal dialysis. Peritonitis usually presents with systemic signs of infection rather than isolated changes in heart rate, and bradycardia is more likely related to cardiac or medication issues.
B. Hyperactive bowel sounds: Hyperactive bowel sounds are not commonly associated with peritonitis. Clients with peritonitis often experience abdominal tenderness and decreased bowel motility due to inflammation, making hyperactive sounds an unlikely finding.
C. Nausea and vomiting: Nausea and vomiting are common signs of peritonitis in peritoneal dialysis patients. The infection of the peritoneal cavity can cause gastrointestinal upset, abdominal pain, and systemic symptoms such as fever, making close monitoring essential for early detection and treatment.
D. Increased urinary output: Peritonitis does not cause increased urinary output. Changes in urine output are more commonly associated with kidney function status or fluid balance rather than infection of the peritoneal cavity.
Correct Answer is B
Explanation
A. Balance the scale at minus two before weighing the client: Scales should always be zeroed before use to ensure accuracy, not preset to minus two. Incorrect scale preparation would give inaccurate weight readings, making this an inappropriate action.
B. Weigh the client after he has voided: Daily weights are the best indicator of fluid balance in clients with chronic kidney disease. Weighing after voiding ensures consistency and accuracy by reducing variation caused by bladder volume.
C. Obtain the weight each day at a time most convenient for the client: Weights should be taken at the same time every day, preferably in the morning before breakfast, to maintain accuracy. Choosing times based only on convenience can result in inconsistent measurements.
D. Use any available scale to weigh the client: The same scale should always be used for daily weights, as different scales may give slightly different readings. Switching between scales would compromise the accuracy of weight monitoring.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.