Practice Quiz

NCLEX-PN

Category - Reduction of Risk

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The nurse is assigned to a client diagnosed with chronic kidney disease. The client is being treated through peritoneal dialysis. While assisting the client during daytime exchanges, the nurse notices that the amount of outflow is less than the amount infused. The nurse should assess:
  1. The catheter and check for kinks, obstructions, or dislodgement
  2. The client’s mental state
  3. The drainage bag and check if the bag is below the level of the client’s abdomen
  4. A and C
Explanation
Answer: D - The nurse should assess the catheter and drainage bag. If there is insufficient outflow of dialysate, the nurse should first turn the client side-to-side to facilitate better outflow. If the catheter is obstructed of dislodged, the physician must reposition the catheter. The drainage bag should be below the abdomen to allow flow by gravity.
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