A child is receiving home peritoneal dialysis. When the visiting nurse assesses the patient, he finds the outflow from the dialysis to be cloudy. Which action by the nurse is the most appropriate?
A.
Call 911 and send the child to the hospital.
B.
Call the nephrology clinic to make an appointment.
C.
Review teaching with the child on the process.
D.
Take a full set of vitals and notify the provider.
ANS: D
Cloudy outflow could indicate peritonitis, a serious complication of peritoneal dialysis. The nurse should take a full set of vitals to assess for infection and call the provider. The child does not need 911. Teaching can be done later. The child should not wait for an appointment.
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