NURSING CARE OF THE CLIENT UNDERGOING …

CHAPTER 27 / NURSING care of clients with Kidney Disorders771 If not contraindicated, place in semi-Fowler s position, toenhance cardiac and respiratory function. Report abnormal serum electrolyte values and manifesta-tions of electrolyte imbalance. The CLIENT with ARF is at par-ticular risk for the following electrolyte to impaired potassium include irritability, nausea, diarrhea, NURSING CAREOF THE CLIENT UNDERGOING PERITONEAL DIALYSISPREDIALYSIS care Document vital signs including temperature, orthostatic bloodpressures (lying, sitting, and standing), apical pulse, respirations,and lung baseline data help assess fluid volume sta-tus and tolerance of the dialysis procedure. Hypertension, abnor-mal heart or lung sounds, or dyspnea may indicate excess fluid vol-ume. Poor respiratory function may affect the ability to tolerateperitoneal dialysis.

CHAPTER 27 / Nursing Care of Clients with Kidney Disorders 771 • If not contraindicated, place in semi-Fowler’s position, to enhance cardiac and respiratory function.

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