A child with acute renal failure is being treated with peritoneal dialysis. Following medical orders, the dialysate has been infused into the child's abdomen. When the dialysate is drained, the nurse notes the following findings
Which finding requires notification of the physician? 1. The dialysate is clear on return.
2. The volume of drained dialysate is less than the volume infused.
3. The child is restless, wanting to get up and play.
4. The child's vital signs are basically the same as were noted on infusion.
2
Rationale 1: This is a normal finding and does not require reporting.
Rationale 2: This indicates fluids are being retained and is not desirable. The physician should be notified.
Rationale 3: This could indicate the child is feeling better. It is a desired effect and does not require reporting to the physician.
Rationale 4: This is an expected finding. No dramatic differences in vital signs should be noted.
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