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    Ati Lpn Comprehensive Predictor 2023 Proctored Exam

    A nurse is assisting with the plan of care for a client who is scheduled for continuous peritoneal dialysis. Which of the following actions should the nurse recommend?

    Explanation & Rationale

    A. Auscultate the access site for a bruit: Listening for a bruit or feeling a thrill is associated with hemodialysis access (arteriovenous fistula or graft), not peritoneal dialysis, which uses the peritoneum as a filter. This action is not relevant for continuous peritoneal dialysis. B. Encourage the client to increase fluid intake: Fluid management depends on the client’s kidney function and dialysis prescription. Unmonitored fluid increase could cause overload, hypertension, or pulmonary edema in clients undergoing peritoneal dialysis. C. Obtain the client's weight: Monitoring weight before each dialysis session is critical to assess fluid status, detect retention, and guide ultrafiltration goals. Accurate weight measurement helps prevent complications related to fluid imbalance in peritoneal dialysis. D. Palpate the access site for a thrill: Thrill palpation is used for hemodialysis vascular access, not peritoneal dialysis, which uses a catheter placed in the abdominal cavity. This action is unnecessary for continuous peritoneal dialysis preparation.

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