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?
Increase the dwell time during the next dialysis infusion.
Instruct the child to change position.
Increase oral fluid intake.
Assess for a bruit at the site of the peritoneal catheter.
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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Correct Answer is ["C","D","E"]
Explanation
Choice A rationale
Obtaining a throat culture is not recommended for a child with epiglottitis due to Haemophilus influenzae type B because it can cause further airway obstruction and distress.
Choice B rationale
Inspecting the epiglottis is not advisable as it can cause further airway obstruction and distress. Visualization of the epiglottis should be done in a controlled environment, such as an operating room, by a specialist.
Choice C rationale
Beginning droplet precautions is essential for preventing the spread of Haemophilus influenzae type B, which is transmitted through respiratory droplets.
Choice D rationale
Monitoring oxygen saturation is crucial for assessing the child’s respiratory status and ensuring adequate oxygenation.
Choice E rationale
Initiating IV access is necessary for administering medications and fluids to manage the child’s condition effectively.
Correct Answer is B
Explanation
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.