A patient receiving continuous ambulatory peritoneal dialysis has redness, warmth, and purulent drainage at the catheter exit site but no abdominal pain. Which action is most appropriate?
Correct answer: A. Assess the site and notify the renal team promptly
- A. Assess the site and notify the renal team promptly
- B. Apply talcum powder around the exit site
- C. Ignore the finding unless the drainage becomes cloudy
- D. Remove the catheter immediately at the bedside
Explanation
Redness, warmth, and purulent drainage suggest an exit-site infection and require prompt assessment and treatment to prevent spread into the peritoneum. Powder can contaminate the site, and catheter removal is not a routine bedside nursing action.
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About Renal and Urological Nursing
Covers assessment and care for urinary tract infection, glomerulonephritis, nephrotic syndrome, acute kidney injury, chronic kidney disease, renal stones and urinary obstruction. The subject includes intake and output, urinalysis, fluid restriction, dialysis care and the difference between prerenal, intrinsic and postrenal kidney injury.
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