A female patient with chronic kidney disease (CKD) is receiving ...

[beccaep]

A female patient with chronic kidney disease (CKD) is receiving peritoneal dialysis with 2 L inflows. Which information should the nurse report immediately to the health care provider?
 
  a. The patient has an outflow volume of 1800 mL.
  b. The patient's peritoneal effluent appears cloudy.
  c. The patient has abdominal pain during the inflow phase.
  d. The patient's abdomen appears bloated after the inflow.

Question 2

A patient has arrived for a scheduled hemodialysis session. Which nursing action is most appropriate for the registered nurse (RN) to delegate to a dialysis technician?
 
  a. Teach the patient about fluid restrictions.
  b. Check blood pressure before starting dialysis.
  c. Assess for causes of an increase in predialysis weight.
  d. Determine the ultrafiltration rate for the hemodialysis.

[nickk12214]

Answer to Question 1

ANS: B
Cloudy appearing peritoneal effluent is a sign of peritonitis and should be reported immediately so that treatment with antibiotics can be started. The other problems can be addressed through nursing interventions such as slowing the inflow and repositioning the patient.

Answer to Question 2

ANS: B
Dialysis technicians are educated in monitoring for blood pressure. Assessment, adjustment of the appropriate ultrafiltration rate, and patient teaching require the education and scope of practice of an RN.