A client with a recently placed peritoneal dialysis catheter has decreased dialysate flow. Which of the following interventions will improve flow?
A. Milk the tubing.
B. Verify tube placement by x-ray.
C. Raise and then lower the drainage bag.
D. Disconnect and flush the tubing.
A
Fibrin clot formation can occur after PD catheter placement. Milking the tubing may dislodge the fibrin clot and improve dialysate flow.
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The patient has a pressure ulcer that was classified as a stage III ulcer. With care, the ulcer has partially healed and now appears as an area of nonblanchable erythema with mild edema. What is the most appropriate nursing description?
A) Stage I ulcer B) Stage III ulcer, healing C) Stage III to I ulcer D) Stage III ulcer, exacerbated
The nurse is doing an initial assessment on a patient recently admitted to the unit with a diagnosis of cerebrovascular accident (CVA). The patient has difficulty copying a figure that the nurse has drawn
The nurse uses this technique to assess for what type of aphasia? A) Auditory-receptive B) Visual-receptive C) Expressive speaking D) Expressive writing
What is the name given to polymorphic VT that occurs in the presence of a long QT interval?
What will be an ideal response?
A patient has refused to eat for 36 hours, believing she is being haunted by her dead grandmother for her "sins." An appropriate therapeutic response would be:
A) "What exactly is grandmother telling you." B) "There are bible studies and different nondenominational groups on the unit. Here is a schedule if you'd like to attend." C) "Why don't you just tell God you are sorry?" D) "I know you hear your grandmother, but we will have to insert a feeding tube if you continue to refuse to eat."