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A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time. Which of the following actions should the nurse take?

 

A.

Increase the dwell time during the next dialysis infusion.

B.

Instruct the child to change position.

C.

Increase oral fluid intake.

D.

Assess for a bruit at the site of the peritoneal catheter.

Answer and Explanation

The Correct Answer is B

Choice A rationale

 

Increasing the dwell time during the next dialysis infusion is not appropriate. The issue is with the outflow, not the dwell time. Increasing the dwell time could exacerbate the problem.

 

Choice B rationale

 

Instructing the child to change position is correct. Changing position can help facilitate the drainage of dialysate by allowing gravity to assist in the outflow process.

 

Choice C rationale

 

Increasing oral fluid intake is not relevant to the issue of minimal dialysate outflow. The problem lies with the mechanical process of dialysis, not fluid intake.

 

Choice D rationale

 

Assessing for a bruit at the site of the peritoneal catheter is not directly related to resolving minimal dialysate outflow. A bruit indicates blood flow through a vascular access, not the peritoneal catheter.


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View Related questions

Correct Answer is C

Explanation

Choice A rationale

Vomiting can occur in infants with necrotizing enterocolitis, but it is not the most specific finding.

Choice B rationale

Hypertension is not typically associated with necrotizing enterocolitis.

Choice C rationale

A rounded abdomen is a common finding in infants with necrotizing enterocolitis due to intestinal swelling and gas accumulation.

Choice D rationale

Tachypnea can occur, but it is not as specific as a rounded abdomen.

Correct Answer is A

Explanation

Choice A rationale

Ensuring that all patients are moved out of harm’s way is the first priority in a nursing home fire situation. This action aligns with the principles of the ABCs of nursing prioritization, where ensuring safety and preventing harm is paramount.

Choice B rationale

Removing all flammable materials from the area and extinguishing the fire is important, but it comes after ensuring the safety of the patients. The primary focus should be on patient safety.

Choice C rationale

Reporting to the area of the fire and taking measures to extinguish and/or contain it, if possible, is a secondary action. The immediate priority is to ensure the safety of the patients.

Choice D rationale

Evacuating all patients from the building immediately is not always feasible or safe. The priority is to move patients out of immediate harm’s way and then proceed with further evacuation if necessary.

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