Scenario: A 45-year-old male with a history of hypertension and chronic kidney disease has arrived at the clinic for a f

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Scenario: A 45-year-old male with a history ofhypertension and chronic kidney disease has arrived at the clinicfor a follow-up appointment with his nephrologist. The patient’skidney disease was treated conservatively with drug therapy anddiet up until 6 weeks ago, but then it was determined that thepatient’s uremia could no longer be adequately managed in thatmanner. After consultation with his family and healthcare provider,the patient decided to begin peritoneal dialysis (PD). A peritonealcatheter was placed a month ago and the patient has been using anautomated peritoneal dialysis system at home since then. Afterreviewing the patient’s medical record, the clinic nurse performs aphysical assessment.
NGN Item Type: Extended Drag and Drop
Use an X to indicate which patient assessment findingsrequire follow-up by the nurse.
Assessment Finding
Assessment Finding that Requires Follow-up
Patient reports lower back pain.
Abdomen is round and soft.
Weight gain of 5 pounds since dialysis began.
Catheter insertion site slightly reddened with small amountserosanguinous drainage.
Patient reports the drained effluent was pink the first 2 daysafter catheter insertion.
Serum potassium level is 4.2 mEq/L.
Rationale:
Cognitive Skill: Recognize Cues