Which assessment finding, after the dialysate is drained during peritoneal dialysis for a child experiencing acute renal failure, would warrant further action by the nurse?
1. The dialysate is clear on return.
2. The volume of drained dialysate is less than the volume infused.
3. The child is restless, wanting to get up and play.
4. The child's vital signs are basically the same as were noted on infusion.
Question 2
A new mother rarely interacts with the infant unless the infant begins to cry vigorously and she appears relieved when the nurse comes to check on the infant. What is the appropriate nursing intervention for this patient?
1. Contact Social Services with concerns of neglect.
2. Teach the client how to interact appropriately with the infant.
3. Take the infant to the nursery so the baby can receive more consistent care.
4. Provide the care the infant needs while continuing to evaluate the mother's actions.
assessment techniques
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