Which assessment finding, after the dialysate is drained during peritoneal dialysis for a child experiencing acute renal failure, would warrant further action by the nurse?
1. The dialysate is clear on return.
2. The volume of drained dialysate is less than the volume infused.
3. The child is restless, wanting to get up and play.
4. The child's vital signs are basically the same as were noted on infusion.
2
Explanation:
1. This is a normal finding and does not require reporting.
2. This indicates fluids are being retained and is not desirable. The healthcare provider should be notified.
3. This could indicate the child is feeling better. It is a desired effect and does not require reporting to the healthcare provider.
4. This is an expected finding. No dramatic differences in vital signs should be noted.
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