The nurse monitors a client receiving peritoneal dialysis for signs of peritonitis. Which assessment finding should be reported to the physician?
1. Abdomen is tender to palpation.
2. Dialysate return is cloudy and yellow.
3. Skin is pale and dry.
4. Temperature is 36.8 °C.
Answer: 2
1. The abdomen might be tender due to distention from the fluid; severe pain would be a concern.
2. Cloudy dialysate fluid is indicative of peritonitis; the fluid should be clear and pale yellow.
3. Skin color is not a concern.
4. A temperature of 36.8 °C is within normal limits.
You might also like to view...
A patient with hypertension has been prescribed a combination diuretic. What is the major purpose in administering a combination diuretic agent?
A) It prevents sodium imbalance. B) It is less expensive than two medications. C) It prevents potassium imbalance. D) It prevents allergic reactions.
The nurse is contributing to the plan of care for a patient who is scheduled for a below-the-knee amputation. What nursing diagnosis should be recommended for the preoperative plan of care?
a. Fluid Volume Deficit b. Anxiety c. Ineffective Airway Clearance d. Self-Care Deficit
When providing staff education regarding basic safety monitoring and status reporting of a patient in crisis, what will the charge nurse include?
1. Basic coping skills 2. Common emotional responses 3. Surveillance for common illness 4. Behavioral stress reduction techniques
Which of the following statements is true regarding benzodiazepines?
1. These drugs are safe to use in pregnancy. 2. These drugs may be habit forming. 3. If a dose is forgotten, double the next dose. 4. Caffeine enhances the effect.