Question

A nurse is caring for a client.

1000:

Client is alert and oriented and reports not feeling well for a few days.
Client is on continuous ambulatory peritoneal dialysis (CAPD) and reports that dialysate appeared cloudy this morning.
Client reports abdominal pain as a 4 on a scale of 0 to 10. Bowel sounds are active in all quadrants.
Peritoneal dialysis access site is red and warm to the touch, with a small amount of purulent drainage noted on the dressing.

1300:

Client is lying in bed with their knees flexed, guarding their abdomen. Abdomen is slightly distended; hypoactive bowel sounds are present. Client reports nausea and pain as a 6 on a scale of 0 to 10. Provider notified and updated with client condition and diagnostic results.
Drag 1 condition and 1 client finding to fill in each blank in the following sentence.

The client is experiencing manifestations of (Condition) _____due to (Client finding) _____.

Condition:
Myxedema coma, dysrhythmias, hemorrhage, pneumonia, or peritonitis

Client finding:
X-ray results, oxygen saturation, platelet count, thyroid level, potassium level.

Answer 1

The client is experiencing manifestations of peritonitis due to the presence of purulent drainage on the dialysis access site.

Step-by-step explanation:

The client is experiencing manifestations of peritonitis due to the presence of purulent drainage on the dialysis access site.

Peritonitis is an inflammation of the peritoneum, which is the lining of the abdominal cavity. It is often caused by a bacterial infection and can be life-threatening. Symptoms of peritonitis include abdominal pain, fever, cloudy dialysate, and redness and warmth at the access site.

In this case, the presence of purulent drainage on the dressing at the dialysis access site indicates an infection, which is the cause of the client's symptoms. The nurse should notify the healthcare provider and initiate appropriate treatment, which may include antibiotics and surgical intervention if necessary.