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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

Answer and Explanation

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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Correct Answer is ["C","D","E"]

Explanation

Choice A reason: Bathing twice a day is not necessary and can dry out the skin, which may lead to cracks and increase the risk of infection.

Choice B reason: Douching is not recommended as it can disrupt the natural ?ora of the vagina and potentially increase the risk of UTIs.

Choice C reason: Consuming adequate fluids is important to help ?ush bacteria from the urinary tract.

Choice D reason: Completing all antibiotics as prescribed is crucial to ensure the infection is fully treated and to prevent resistance.

Choice E reason: Wiping from front to back helps prevent bacteria from the anal area from spreading to the urethra.

A. Maintain the client in a left lateral position during dialysis. B. Monitor vital signs every 2 hours during the procedure. C. Warm the dialysate solution prior to instillation. D. Place the drainage bag above the level of the client's abdomen.

Correct Answer is C

Explanation

Choice A reason: Maintaining the client in a left lateral position is not specifically required for peritoneal dialysis. Positioning may vary based on the individual's comfort and specific medical needs.

Choice B reason: While monitoring vital signs is important during any medical procedure, it is not an intervention that directly ensures proper dialysate exchange in peritoneal dialysis.

Choice C reason: Warming the dialysate solution prior to instillation is a standard practice in peritoneal dialysis. It helps to promote patient comfort and more efficient exchange of wastes and fluids.

Choice D reason: Placing the drainage bag above the level of the client's abdomen would impede gravity drainage, which is necessary for proper dialysate exchange. The drainage bag should be placed below the level of the client's abdomen.

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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?

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