When providing care for a client receiving peritoneal dialysis. While draining the dialysate the nurse notices that the efluent is cloudy. Which intervention is most important for the nurse to carry out at this moment?

Prepare the client for emergency surgery.

Send a specimen for culture and sensitivity.

Clamp the catheter and call the provider.

Irrigate the peritoneal catheter with sterile saline

Answer and Explanation

The Correct Answer is B

Choice A rationale: Cloudy efluent doesn't necessarily indicate a need for emergency surgery unless accompanied by severe symptoms.

Choice B rationale: Cloudy efluent may indicate infection, so obtaining a culture and sensitivity test is crucial for appropriate treatment.

Choice C rationale: This step might be necessary if the efluent suggests infection, but sending a specimen for testing is the immediate priority.

Choice D rationale: This action isn't the first step; investigating the cause of cloudiness through testing is essential.

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Correct Answer is B

Explanation

Choice A rationale: PID is not associated with meningitis, which is an infection or inflammation of the meninges.

Choice B rationale: Chronic PID typically involves long-term inflammation of the pelvic organs, including the fallopian tubes and ovaries.

Choice C rationale: This condition refers to genital warts caused by HPV, not directly related to PID.

Choice D rationale: Dysplasia refers to abnormal cell growth or development and isn't directly associated with PID.

A. Biopsy B. Urea breath test C. Endoscopy D. Computed tomography (CT) scan

Correct Answer is D

Explanation

Choice A rationale: Biopsy during an endoscopy can help confirm the presence of duodenal ulcers by analyzing tissue samples.

Choice B rationale: Urea breath test is used to detect the presence of Helicobacter pylori, a bacterium associated with duodenal ulcers.

Choice C rationale: Endoscopy is a standard procedure for diagnosing duodenal ulcers by directly visualizing the upper gastrointestinal tract.

Choice D rationale: While a CT scan can be useful in some cases, it's less commonly used for diagnosing duodenal ulcers compared to other diagnostic methods like endoscopy,

biopsy, or urea breath test.

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When providing care for a client receiving peritoneal dialysis. While draining the dialysate the nurse notices that the efluent is cloudy. Which intervention is most important for the nurse to carry out at this moment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After reviewing the laboratory reports of a client, a nurse finds that the client has chronic pelvic inflammatory disorder (PID). Which condition should the nurse anticipate in the client?

Correct Answer is B

Explanation

A client tells the nurse, "I have intense stomach pain for 3 hours after eating." On assessment the nurse finds abdominal pain and tenderness of the abdomen. The nurse suspects duodenal ulcers in the client. Which diagnostic procedure does the primary health-care provider least likely recommend?

Correct Answer is D

Explanation

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