A nurse is caring for a client who is receiving peritoneal dialysis. Which of the following actions should the nurse take?
Explanation & Rationale
Rationale: A. Use an infusion pump to deliver the dialysate at a safe rate: Dialysate for peritoneal dialysis is typically instilled by gravity, not an infusion pump. Using a pump can create excessive pressure, increasing the risk of peritoneal damage or discomfort. B. Report cloudy dialysate drainage to the provider: Cloudy outflow is a key sign of peritonitis, a serious complication of peritoneal dialysis. This finding should be reported immediately for prompt evaluation and treatment. C. Warm the dialysate solution using a low power level on a microwave oven: Dialysate should not be warmed in a microwave due to the risk of uneven heating and potential damage to the peritoneal lining. A warming pad or commercial dialysate warmer is recommended to safely bring the solution to body temperature. D. Allow the dialysate to drain over 1 to 4 hr: The dwell time (the time the dialysate stays in the peritoneal cavity) typically ranges from 30 minutes to a few hours. However, the drainage phase should usually take about 15 to 30 minutes. Allowing dialysate to drain over 1 to 4 hours would be incorrect, as this refers more to dwell time, not the drainage phase.