Author Question: A nurse assesses a client who was started on intraperitoneal therapy 5 days ago. The client reports ... (Read 50 times)

chads108 · **on:** Jun 25, 2018

A nurse assesses a client who was started on intraperitoneal therapy 5 days ago. The client reports abdominal pain and feeling warm. For which complication of this therapy should the nurse assess this client?

a. Allergic reaction
b. Bowel obstruction
c. Catheter lumen occlusion
d. Infection

Question 2

A nurse is caring for a client with a peripheral vascular access device who is experiencing pain, redness, and swelling at the site. After removing the device, which action should the nurse take to relieve pain?

a. Administer topical lidocaine to the site.
b. Place warm compresses on the site.
c. Administer prescribed oral pain medication.
d. Massage the site with scented oils.

Ptupou85 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
Fever, abdominal pain, abdominal rigidity, and rebound tenderness may be present in the client who has peritonitis related to intraperitoneal therapy. Peritonitis is preventable by using strict aseptic technique in handling all equipment and infusion supplies. An allergic reaction would occur earlier in the course of treatment. Bowel obstruction and catheter lumen occlusion can occur but would present clinically in different ways.

Answer to Question 2

ANS: B
At the first sign of phlebitis, the catheter should be removed and warm compresses used to relieve pain. The other options are not appropriate for this type of pain.