The nurse is conducting peritoneal dialysis for a client with renal failure and finds the drainage tubing has no outflow. The priority action that the nurse would take is to
a. apply a 5-pound sandbag to the abdomen.
b. check the tubing for kinks or obstruction.
c. notify the physician about the problem.
d. try a more concentrated dialysate solution.
B
If fluid does not drain properly during peritoneal dialysis, the nurse should check the system for kinks or other obstructions. If there is no obvious problem, then the nurse should notify the phy-sician. The other two options are not related.
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The nurse obtains a specimen of wound drainage for a client. For which reason is the nurse sending the specimen for a culture and sensitivity test?
1. Determine the severity of the disease 2. Measure the effectiveness of the client's immune system 3. Identify the most effective antibiotic 4. Recognize the type of pathogen
When preparing to provide testimony or serve as an expert witness, the nurse should:
a. prepare detailed written notes to read during the presentation. b. interview individuals who are knowledgeable in the topic area. c. prepare multiple questions to ask the committee chairperson. d. focus primarily on developing nursing-related content.
Based upon the toddler's developmental stage, the nurse giving medications to a toddler would most likely say:
a. "You must take this medicine right now." b. "Would you like me to give you your medicine, or would you like your mommy to give it to you?" c. "I have to give you this medicine on time because the health care practitioner ordered it." d. "Be a good child and take your medicine, as it will make your mommy and daddy very happy."
A client's family inquires with a nurse about their loved one's diagnosis of vascular dementia. Which statement by the nurse is accurate regarding vascular dementia?
A) It is reversible. B) It is characterized by plaques and tangles in the brain. C) It exhibits a gradual, progressive deterioration. D) It exhibits a fluctuating pattern of deterioration.