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Physiological Adaption

The medical floor nurse receives report from the Emergency Department on a 42-year-old client who is admitted to the hospital for hyperphosphatemia related to end-stage renal disease. The client receives continuous ambulatory peritoneal dialysis (CAPD), and the physician has ordered continuation of treatment during hospitalization. The nurse should do which of the following?

Maintain a permanent peritoneal catheter with flushes of 0.9% normal saline (0.9% NS) every 4–6 hoursObtain a pump in preparation for dialysate infusionEnsure the dialysate is refrigerated until ready to infuse, and obtain a warming pad or a warming machine to warm the dialysate to body temperature prior to exchangeWeigh the client at the same time every day, and use sterile technique while working with a permanent peritoneal catheter

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ExplanationThe nurse would weigh the client at the same time daily. The nurse would use sterile technique and equipment when working with the peritoneal catheter to infuse and drain the dialysate, including having the client and nurse wear a surgical mask while the peritoneal catheter and hub are exposed.

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