Questions: A nurse is assisting with the care of a client who is receiving peritoneal dialysis. Which of the following actions should the nurse plan to take? Ensure that clean technique is used during the procedure. Verify the dialysate is chilled before administration. Monitor the clients intake and output. Ensure the dient's dialysate is instilled rapidly.

A nurse is assisting with the care of a client who is receiving peritoneal dialysis. Which of the following actions should the nurse plan to take? Ensure that clean technique is used during the procedure. Verify the dialysate is chilled before administration. Monitor the clients intake and output. Ensure the dient's dialysate is instilled rapidly.
Transcript text: A nurse is assisting with the care of a client who is receiving peritoneal dialysis. Which of the following actions should the nurse plan to take? Ensure that clean technique is used during the procedure. Verify the dialysate is chilled before administration. Monitor the clients intake and output. Ensure the dient's dialysate is instilled rapidly.
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Solution

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The answer is: Monitor the client's intake and output.

Explanation for each option:

  • Ensure that clean technique is used during the procedure: This is incorrect. Sterile technique, not just clean technique, is essential during peritoneal dialysis to prevent infection.

  • Verify the dialysate is chilled before administration: This is incorrect. The dialysate should be warmed to body temperature before administration to avoid causing discomfort and abdominal cramping.

  • Monitor the client's intake and output: This is correct. Monitoring intake and output is crucial to assess the client's fluid balance and ensure the effectiveness of the dialysis treatment.

  • Ensure the client's dialysate is instilled rapidly: This is incorrect. The dialysate should be instilled at a controlled rate to prevent discomfort and complications.

Summary: The nurse should plan to monitor the client's intake and output to ensure proper fluid balance and the effectiveness of the peritoneal dialysis treatment.

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