A nurse is caring for a client who is undergoing initial peritoneal dialysis. Which of the following should the nurse
report immediately to the provider?
Blood-tinged dialysate outflow
Dialysate leakage during inflow
Report of discomfort during dialysate inflow
Purulent dialysate outflow
The Correct Answer is D
Choice A reason: Blood-tinged dialysate outflow can occur initially due to the surgical procedure and is not typically a cause for immediate concern unless it persists or is accompanied by other symptoms.
Choice B reason: Dialysate leakage during inflow might indicate a problem with the catheter placement or integrity but is not usually an emergency. It should be monitored and reported if it continues.
Choice C reason: Discomfort during dialysate inflow is common, especially in new patients, as they adjust to the sensation of fluid being infused. It should be reported if the discomfort is severe or persistent.
Choice D reason: Purulent dialysate outflow indicates an infection, such as peritonitis, which is a serious complication
of peritoneal dialysis. This requires immediate atention and intervention by the healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
Choice A reason: Driving restrictions are not typically necessary for clients on hemodialysis unless there are other underlying conditions affecting their ability to drive safely.
Choice B reason: Clients on hemodialysis need to restrict foods high in potassium, sodium, and phosphorus to manage their electrolyte levels and prevent complications.
Choice C reason: Airplane travel is not generally restricted for hemodialysis clients, but they may need to arrange for dialysis at their destination.
Choice D reason: Time constraints are a significant factor as hemodialysis requires several hours per session, multiple times a week.
Choice E reason: Fluid intake often needs to be restricted in clients on hemodialysis to prevent fluid overload, as the kidneys are not able to remove excess fluid effectively.
Choice F reason: Limiting social activities is not a necessary restriction unless it is related to the client's overall health status.
Correct Answer is A
Explanation
Choice A reason: Diuretic use, especially thiazide diuretics, can lead to increased calcium in the urine, which is a risk
factor for the development of calcium stones.
Choice B reason: Hypocalcemia is not typically associated with an increased risk of urolithiasis. In fact, hypercalcemia can be a risk factor due to increased calcium excretion.
Choice C reason: A family history of kidney stones is a known risk factor for urolithiasis, as genetic factors can in?uence stone formation.
Choice D reason: A BMI less than 25 is generally not considered a risk factor for urolithiasis; higher BMI levels have been associated with an increased risk.
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