A nurse is providing teaching to a client and their partner about performing peritoneal dialysis at home.

When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?

Cloudy effluent.

Increased heart rate.

Generalized abdominal pain.

Fever.

Answer and Explanation

The Correct Answer is A

The earliest indication of peritonitis in a patient undergoing peritoneal dialysis is often cloudy dialysis fluid when drained from the body.
Choice B is incorrect because an increased heart rate is not the earliest indication of peritonitis.
Choice C is incorrect because generalized abdominal pain is not the earliest indication of peritonitis.
Choice D is incorrect because fever is not the earliest indication of peritonitis.

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Correct Answer is C

Explanation

Prealbumin is a protein that is produced by the liver and is used as a marker of nutritional status.
It has a short half-life, so changes in pre albumin levels can reflect recent changes in nutritional status.
Monitoring pre albumin levels can help assess the effectiveness of total parenteral nutrition.
Lipase is an enzyme that is produced by the pancreas and is not used to monitor overall nutritional status.
B) C-reactive protein is a marker of inflammation and is not used to monitor overall nutritional status.
D) Creatinine is a waste product that is produced by muscle metabolism and is not used to monitor overall nutritional status.

A. Clean the insertion site using 20 mL of hydrogen peroxide. B. Change the catheter dressing daily. C. Use a 10-mL syringe to flush the line. D. Do not elevate the arm above the level of the heart.

Correct Answer is C

Explanation

A 10-mL syringe is the minimum size that should be used to flush a PICC line to prevent damage to the catheter.
Choice A, Clean the insertion site using 20 mL of hydrogen peroxide, is not the correct answer because hydrogen peroxide should not be used to clean the insertion site of a PICC line.
Choice B, Changing the catheter dressing daily, is not the correct answer because the catheter dressing should be changed every 3 to 7 days or as directed by a healthcare provider.
Choice D, Do not elevate the arm above the level of the heart, is not the correct answer because there is no restriction on elevating the arm above the level of the heart with a PICC line.

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A nurse is providing teaching to a client and their partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is providing teaching to a client and their partner about performing peritoneal dialysis at home.

When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?