A patient receiving continuous ambulatory peritoneal dialysis reports shoulder pain during an exchange, and the drainage is slow. Which action should the nurse take first?
Correct answer: A. Inspect the catheter tubing for kinks
- A. Inspect the catheter tubing for kinks
- B. Place the patient flat and restrict movement
- C. Add extra dialysate to increase pressure
- D. Stop all future dialysis exchanges
Explanation
A kinked or compressed catheter can obstruct dialysate flow and cause discomfort from poor drainage. The tubing should be checked first, while persistent problems require further assessment for catheter displacement, constipation, or other complications.
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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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