Dialysis Modalities · NCLEX Exam

A patient on PD presents with cloudy dialysate effluent. What is the priority nursing action?

  1. Increase the dialysate glucose concentration for this exchange.
  2. Send the effluent for culture and start empiric peritonitis therapy.
  3. Temporarily switch the patient to in-center hemodialysis instead.
  4. Administer a diuretic to clear the cloudy peritoneal effluent.
Show answer and explanation

Correct answer: Send the effluent for culture and start empiric peritonitis therapy.

Cloudy effluent in PD is a strong sign of peritonitis (infection of the peritoneal cavity) and requires immediate evaluation and treatment.

Difficulty: Medium Question 4 of 20

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