A patient with end-stage renal disease has selected peritoneal dialysis as the preferred treatment option to manage his condition
The peritoneal dialysis nurse is instructing the patient on the procedures to follow to perform an exchange of fluid in the peritoneal cavity. In developing a care plan for this patient related to complications of peritonitis, the nurse will give which of the following nursing diagnoses the highest priority?
A) Risk for infection related to peritonitis
B) Excess fluid volume related to the presence of 2 to 3 L of peritoneal dialysis fluid in the peritoneal cavity
C) Fatigue related to the need to perform peritoneal dialysis exchanges every 4 to 6 hours over a 24-hour period of time
D) Acute pain related to abdominal fullness and pressure
Ans: A
Feedback: Peritonitis is the most common and serious complication of peritoneal dialysis. Patients or family members are taught the procedures to follow when performing a peritoneal dialysis fluid exchange. Proper performance of the skills of peritoneal dialysis is essential in preventing contamination of the catheter or supplies and ultimately results in reducing the rates of peritonitis. The use of adult learning theory-based techniques has demonstrated a decrease in peritonitis and exit site infection rates.
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