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    ATI Nur 201 Mental Health Quiz proctored exam

    A client with end-stage renal disease is receiving peritoneal dialysis. Which finding indicates a potential complication of this treatment?

    Explanation & Rationale

    Choice A reason: Clear dialysate output is expected in peritoneal dialysis, indicating effective fluid and toxin removal without infection or bleeding. It does not suggest complications, as clear effluent reflects normal dialysis function, making this an incorrect choice for a potential complication requiring intervention. Choice B reason: Mild abdominal discomfort during infusion is common in peritoneal dialysis due to fluid pressure or catheter irritation. While it should be monitored, it is not typically a serious complication unless persistent or severe, making it less concerning than cloudy output, which signals infection. Choice C reason: Cloudy dialysate output indicates a potential complication, likely peritonitis, due to bacterial contamination in the peritoneal cavity. This requires immediate intervention, as infection can lead to sepsis or peritoneal membrane damage, making it a critical finding that the nurse must address promptly. Choice D reason: Weight loss of 1 kg daily may reflect fluid removal in peritoneal dialysis, which is expected. Excessive loss could indicate over-dialysis, but cloudy output is more urgent, as it suggests infection, a life-threatening complication requiring immediate attention compared to fluid-related weight changes.

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