The nurse preparing to administer peritoneal dialysis would have which responsibility in contrast to hemodialysis?
1. Knowing the patient's dry weight prior to beginning
2. Monitoring for changes in vital signs
3. Inspecting the tunneled catheter for infection
4. Suggesting a low-Fowler's position for comfort
3
Rationale 1: Knowing the patient's weight prior to beginning is appropriate for both procedures.
Rationale 2: Monitoring for changes in vital signs before, during, and after is appropriate to both procedures.
Rationale 3: Access to the peritoneum is by tunneled catheter. The catheter has several sections: the first outside the body, the next located in the subcutaneous layer and having at least one Dacron cuff or flanged collar to anchor the catheter, and a section in the peritoneal cavity with multiple lumens for rapid delivery of fluid. The nurse maintains aseptic technique when caring for the catheter and assesses the access site at least daily.
Rationale 4: Placing the patient in a low-Fowler's position would be appropriate for either type of therapy.
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