A child with acute renal failure is being treated with peritoneal dialysis. Following medical orders, the dialysate has been infused into the child's abdomen. When the dialysate is drained, the nurse notes the following findings. Which finding requires notification of the physician?
A)The dialysate is clear on return.
B)The volume of drained dialysate is less than the volume infused.
C)The child is restless, wanting to get up and play.
D)The child's vital signs are basically the same as were noted on infusion.

Question

Quizplus · Accepted Answer

A lower volume of drained dialysate relative to the volume infused could indicate that the dialysis is not effectively removing waste products from the child's body, which could lead to further complications. The other findings are within normal limits or expected outcomes of the procedure. Restlessness can be managed with appropriate distractions, and clear dialysate and stable vital signs are desirable outcomes. However, the finding of a lower drained volume requires further investigation and possible intervention.

A Child with Acute Renal Failure Is Being Treated with Peritoneal