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    ATI RN Pediatric Nursing 2023 Proctored Exam

    A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time.Which of the following actions should the nurse take?

    Explanation & Rationale

    The correct answer is B. Instruct the child to change position.Choice A rationaleIncreasing the dwell time during the next dialysis infusion is not appropriate. The issue is with the outflow, not the dwell time. Increasing the dwell time could exacerbate the problem.Choice B rationaleInstructing the child to change position is correct. Changing position can help facilitate the drainage of dialysate by allowing gravity to assist in the outflow process.Choice C rationaleIncreasing oral fluid intake is not relevant to the issue of minimal dialysate outflow. The problem lies with the mechanical process of dialysis, not fluid intake.Choice D rationaleAssessing for a bruit at the site of the peritoneal catheter is not directly related to resolving minimal dialysate outflow. A bruit indicates blood flow through a vascular access, not the peritoneal catheter.

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