NCLEX Style Study Question
If the nurse notes cloudy drainage 2 days post insertion of a Tenckhoff catheter for peritoneal dialysis, what other data does the nurse need to collect before reporting this finding?
- bowel sounds
- breath sounds
- temperature
- urine output
June 1st, 2005 at 7:05 am
#4
June 1st, 2005 at 7:34 am
I agree - #4
June 1st, 2005 at 9:04 am
3
June 1st, 2005 at 9:30 am
#4. I think the output is supposed to be slightly cloudy.
June 1st, 2005 at 10:04 am
#4
June 3rd, 2005 at 1:25 pm
The correct answer is number: 3
You are correct!
This finding indicates potential infection so temperature is essential to evaluate before notification of the care provider.
Altman, G. (2004). Delmar’s Fundamental and Advanced Nursing Skills, 2nd ed. Albany, NY: Delmar.
Swearingen, P. (2004). All-in-One Care Planning Resource: Medical-surgical, Pediatric, Maternity, and Psychiatric Nursing Care Plans. St. Louis: Mosby.