This question tests clinical judgment in dialysis care support. The key complication involved is peritonitis or outflow obstruction, possibly from constipation in obese clients. Reporting fever and abnormal outflow promptly addresses the primary nursing concern by facilitating timely diagnosis and treatment to avoid complications. Skipping dialysis risks uremia; NSAIDs can harm kidneys; increasing potassium is dangerous. The nursing principle guiding this choice is early detection of dialysis disruptions. A transferable strategy is to address constipation with stool softeners proactively. Educate on tracking outflow volumes and symptoms for self-management.

This question tests clinical judgment in dialysis care support. The key complication involved is peritonitis in peritoneal dialysis, shown by cloudy effluent and fever. Cloudy effluent with fever and tenderness should be reported immediately for antibiotic therapy to avoid sepsis. Mild fullness, minor weight gain, and cramps are tolerable. The nursing principle guiding this choice is prompt infection identification. A transferable strategy is to inspect effluent daily. Educate on asepsis to prevent occurrences.

This question tests clinical judgment in dialysis care support. The key complication involved is peritonitis, indicated by cloudy effluent, odor, and fever from bacterial contamination. Reporting cloudy effluent and fever immediately addresses the primary nursing concern by enabling early antibiotic intervention and preventing sepsis. Adding dextrose alters osmosis but not infection; avoiding soap is incorrect for site care; timing antihypertensives is unrelated. The nursing principle guiding this choice is vigilant monitoring for infectious signs. A transferable strategy is to culture effluent at first sign of abnormality. Teach hand hygiene and sterile technique to minimize risks.

This question tests clinical judgment in dialysis care support. The key complication involved is dietary nonadherence leading to hyperkalemia in limited-resource settings. Assessing choices and collaborating with RN/dietitian addresses the primary nursing concern by creating feasible plans to control electrolytes safely. Salt substitutes often contain potassium; avoiding all produce is unbalanced; extra water doesn't flush potassium. The nursing principle guiding this choice is interdisciplinary collaboration for education. A transferable strategy is to review labs with dietary habits. Provide budget-friendly meal ideas for sustainability.

This question tests clinical judgment in dialysis care support. The key adaptation involved is frustration with treatment burden affecting adherence. Acknowledging feelings, assessing reasons, and notifying RN addresses the primary nursing concern by identifying barriers and facilitating team support. Dismissing concerns is unsupportive; explaining formulas may overwhelm; herbs are unsafe. The nursing principle guiding this choice is therapeutic communication for motivation. A transferable strategy is to discuss adherence challenges openly. Educate on consequences of skipping to empower decisions.

This question tests clinical judgment in dialysis care support. The key adaptation involved is psychosocial adjustment to chronic illness and role changes. Encouraging discussion and referring to RN/social worker addresses the primary nursing concern by providing emotional support and resources within LPN scope. Focusing on gratitude dismisses feelings; assuming resolution is inaccurate; stopping dialysis is harmful. The nursing principle guiding this choice is holistic care including mental health. A transferable strategy is to screen for depression routinely. Educate on support groups for coping.

This question tests clinical judgment in dialysis care support. The key complication involved is fluid overload between dialysis sessions, manifesting as pulmonary edema. Shortness of breath with crackles and weight gain should be reported immediately to prevent respiratory failure. Mild itching, decreased appetite, and post-dialysis fatigue are common but not emergent. The nursing principle guiding this choice is recognizing signs of volume excess. A transferable strategy is to track daily weights and symptoms. Educate on fluid limits to avoid overload.