The nurse is anticipating the health care provider's arrival to insert a peritoneal dialysis catheter into the client. In addition to gathering the required equipment, which action by the nurse is the most appropriate?
1. Explaining the need for peritoneal dialysis to the client and family
2. Administering the pre-procedure sedation
3. Ordering the required dialysate
4. Determining that a signed consent has been obtained
Correct Answer: 4
The nurse should determine that a signed consent has been obtained. It is the health care provider's responsibility to explain the need for peritoneal dialysis. The procedure is generally performed using only a local anesthetic, so pre-procedure sedation is not generally used. The health care provider usually orders the dialysate the day before inserting the catheter because it takes time to prepare it. If the nurse were to order it just before insertion, it is unlikely it would be ready in time.
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