A peritioneal dialysis client states that during the home exchanges, the return solution is cloudy. The nurse would respond by asking the client: Select all that apply
1. "Do you wash your hands prior to the exchanges?"
2. "How do you change your dialysis catheter dressing?"
3. "Have you developed any recent fevers?"
4. "What color is your urine?"
5. "At what time of the day do you perform your exchanges?"
1. "Do you wash your hands prior to the exchanges?"
2. "How do you change your dialysis catheter dressing?"
3. "Have you developed any recent fevers?"
Rationale: "Do you wash your hands prior to the exchanges?" The client has peritonitis, as evidenced by the cloudy return dialysate; the questioning of aseptic techniques is necessary to determine the cause of the peritonitis. "How do you change your dialysis catheter dressing?" The client has peritonitis, as evidenced by the cloudy return dialysate; the questioning of aseptic techniques is necessary to determine the cause of the peritonitis. "Have you developed any recent fevers?" Fevers would further indicate that the client has developed peritonitis. "What color is your urine?" The client is in chronic renal failure and will be anuric. "At what time of the day do you perform your exchanges?" The time of the day of exchanges does not influence the risk of peritonitis.
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