The nurse monitors a client receiving peritoneal dialysis for signs of peritonitis. Which of the following assessment findings should be reported to the physician?
A)
Skin is pale and dry.
B)
Abdomen is tender to palpation.
C)
Dialysate return is cloudy and yellow.
D)
Temperature is 36.8°C.
C
Explanation:
A)
Cloudy dialysate fluid is indicative of peritonitis; the fluid should be clear and pale yellow. The abdomen may be tender due to distention from the fluid; severe pain would be a concern.
Application
Assessment
Physiological Integrity: Physiological Adaptation
B)
Cloudy dialysate fluid is indicative of peritonitis; the fluid should be clear and pale yellow. The abdomen may be tender due to distention from the fluid; severe pain would be a concern.
Application
Assessment
Physiological Integrity: Physiological Adaptation
C)
Cloudy dialysate fluid is indicative of peritonitis; the fluid should be clear and pale yellow. The abdomen may be tender due to distention from the fluid; severe pain would be a concern.
Application
Assessment
Physiological Integrity: Physiological Adaptation
D)
Cloudy dialysate fluid is indicative of peritonitis; the fluid should be clear and pale yellow. The abdomen may be tender due to distention from the fluid; severe pain would be a concern.
Application
Assessment
Physiological Integrity: Physiological Adaptation
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