The nurse is caring for a patient during continuous renal replacement therapy. What interventions would the nurse perform at this time? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Monitor vital signs every half hour.
2. Administer replacement fluid as determined by the hourly fluid balance goal.
3. Assess partial thromboplastin time every 1 to 2 hours.
4. Warm the dialysate to body temperature.
5. Inspect the dialysate return.
1,2,3
Rationale 1: The nurse will monitor the patient's vital signs and hemodynamic and fluid balance status every half hour.
Rationale 2: The nurse will administer replacement fluid as determined by the hourly fluid balance goal set by the nephrologist.
Rationale 3: The nurse will review partial thromboplastin times as often as every 1 to 2 hours.
Rationale 4: This intervention would be done if the patient were receiving peritoneal dialysis.
Rationale 5: This intervention would be done if the patient were receiving peritoneal dialysis.
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