A nurse is caring for a client who is receiving peritoneal dialysis and notes a decrease in the dialysate flow rate. Which of the following actions should the nurse take? (Select all that apply.)
Explanation & Rationale
A. Raise the drainage bag above the level of the client's abdomen: The drainage bag should be kept below the level of the abdomen to promote gravity drainage. Raising it can impede flow and increase the risk of infection or backflow. B. Elevate the client to the high-Fowler's position: This helps enhance drainage by using gravity and decreasing abdominal pressure on the catheter. C. Measure the amount of the dialysate outflow: This allows the nurse to assess for fluid retention and monitor the effectiveness of dialysis. D. Monitor the access site for drainage: Observing the site for signs of leakage, infection, or obstruction is essential when outflow decreases. E. Reposition the client onto the other side: Repositioning can help resolve catheter tip obstruction or shifting of internal organs that may be blocking outflow.