A client on peritoneal dialysis is experiencing constipation. Which of the following interventions should the nurse implement to manage this condition?
Increase the intake of potassium-rich foods.
Administer a stool softener as needed.
Decrease the fluid intake during dialysis.
Encourage the client to consume dairy products.
The Correct Answer is B
A) This statement is incorrect. Increasing the intake of potassium-rich foods is not related to managing constipation. In fact, clients on peritoneal dialysis may need to restrict potassium intake due to the potential for electrolyte imbalances.
B) This statement is accurate. Constipation can be a common issue for clients on peritoneal dialysis due to the presence of glucose in the dialysate, which can draw fluid into the peritoneal cavity and lead to decreased bowel movement. Administering a stool softener as needed can help alleviate constipation.
C) This statement is incorrect. Decreasing fluid intake during dialysis is not recommended for managing constipation. Fluid intake should be maintained as prescribed to achieve adequate ultrafiltration.
D) This statement is incorrect. Encouraging the client to consume dairy products is not directly related to managing constipation. While calcium intake may be important for bone health in clients with ESRD, it is not a primary intervention for constipation.
QUESTIONS
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Related Questions
Correct Answer is C
Explanation
A) This statement is incorrect. Administering an analgesic for the abdominal pain may provide temporary relief, but it does not address the underlying cause of the symptoms.
B) This statement is incorrect. Measuring blood pressure and pulse rate is essential for client assessment, but it may not provide enough information to determine the cause of the symptoms.
C) This statement is accurate. Abdominal pain and fever in a client on peritoneal dialysis may indicate peritonitis, which can result from infection or catheter issues. The nurse should first check the catheter for kinks or obstructions to ensure proper drainage and prevent complications.
D) This statement is incorrect. Notifying the healthcare provider about the symptoms is important, but the nurse should first assess the catheter for possible issues to determine if immediate intervention is needed.
Correct Answer is D
Explanation
A) This statement is incorrect. Cloudy dialysate drainage may indicate infection or peritonitis, and the nurse should not simply document the finding and continue monitoring without further assessment.
B) This statement is incorrect. Administering an antibiotic medication without a definitive diagnosis is not appropriate. The nurse should assess the client further to determine the cause of the cloudy drainage.
C) This statement is incorrect. Increasing the dialysis exchange frequency would not address the issue of cloudy dialysate drainage and may not be indicated without a proper assessment.
D) This statement is correct. Cloudy dialysate drainage may indicate infection or peritonitis. The nurse should check the client's vital signs and assess for signs of abdominal pain or tenderness, as this requires immediate evaluation.
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