The client has cramping during the instillation of the solution for PD. Which does the nurse implement to promote client comfort?
1. Increase the flow rate of the solution.
2. Check the temperature of the solution.
3. Ask the client move around in the bed.
4. Drain the dialysate from the client quickly.
2
2. A common cause of abdominal cramping for the client receiving PD is cold dialy-sate, so the nurse checks the temperature of the dialysate to make sure that cold fluid is the cause. After instilling warm dialysate, the nurse needs to investigate the abdo-minal cramping further if the cramping does not stop.
1. Increasing the flow rate is likely to aggravate abdominal cramping.
3. The nurse asks the client to move or change positions while the dialysate drains to maximize drainage.
4. If cold dialysate is causing the cramping, it can be improved by instilling the warm solution; the dialysate does not need to be drained. However, the nurse should act cautiously and ensure that the client in not in shock or hypothermic before making the decision.
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