17. Which assessment would be most appropriate for a nurse to make during peritoneal dialysis while the solution is dwelling within the abdomen?
17. Which assessment would be most appropriate for a nurse to make during peritoneal dialysis while the solution is dwelling within the abdomen?
. Assessing for urticaria.
. Observing respiratory status.
. Checking capillary refill.
. Monitoring electrolyte status.
Test-Taking Tip
Think: breathing. Visualize where the fluid is located and potential complications from the pressure of the fluid.
Content Area: Adult Health, Renal; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Therapeutic Procedures
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Answer 1 is incorrect because the hypertonic solution is not associated with allergic reactions. Answer 2 is correct because 2 to 3 L of fluid is infused into the peritoneum and the fluid may be pressing on the diaphragm. Answer 3 is incorrect because capillary refill would indicate oxygenation and hypovolemia. Peritoneal dialysis removes fluid more slowly, and sudden volume changes are unlikely. Answer 4 is incorrect because peritoneal dialysis takes 36 to 48 hours to correct an electrolyte imbalance.