A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?
Increased urinary output
Bradycardia
Nausea and vomiting
Hyperactive bowel sounds
The Correct Answer is C
Choice A reason: Increased urinary output is not typically associated with peritonitis, especially during peritoneal
dialysis.
Choice B reason: Bradycardia, or a slow heart rate, is not a common manifestation of peritonitis.
Choice C reason: Nausea and vomiting are common symptoms of peritonitis and should be monitored in clients
receiving peritoneal dialysis.
Choice D reason: Hyperactive bowel sounds are not specifically indicative of peritonitis; they can be associated with a variety of gastrointestinal conditions.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: An elevated creatinine level indicates reduced kidney function, which is often the reason a kidney biopsy is being performed in the first place. It is not a contraindication for the procedure.
Choice B reason: Urinary retention does not directly impact the ability to perform a kidney biopsy, as the procedure involves the kidneys and not the lower urinary tract where urine is stored.
Choice C reason: Flank pain is a common symptom in patients with kidney issues and is not a contraindication for a kidney biopsy. The procedure may help diagnose the cause of the ?ank pain.
Choice D reason: Bleeding tendencies are a significant contraindication for a kidney biopsy. Patients with a history of bleeding disorders or those on anticoagulant therapy are at increased risk of bleeding complications from the procedure.
Correct Answer is D
Explanation
Choice A reason: The nurse is not providing surgical site or wound care by documenting urination.
Choice B reason: Managing postoperative pain is not directly related to monitoring the client's ability to urinate.
Choice C reason: Assisting with early ambulation does not pertain to the urinary function directly.
Choice D reason: Monitoring urinary function is part of postoperative care, especially after removal of a Foley catheter, to ensure the client is able to void normally.
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