What action should the nurse take if a client receiving intermittent peritoneal dialysis is experiencing inadequate drainage of peritoneal fluid?

When a client receiving intermittent peritoneal dialysis is experiencing inadequate drainage of peritoneal fluid, turning the client from side to side can help facilitate drainage. This position change can enhance the distribution of the dialysate within the peritoneal cavity and promote gravity-assisted drainage of the fluid. The movement can help dislodge any possible adhesions or changes in pressure that may be preventing the fluid from draining properly.

This action aligns with the importance of optimizing the mechanical aspects of dialysis. It is often one of the first, non-invasive strategies a nurse can implement to address drainage issues before considering other interventions. This approach is practical and supports the body’s natural processes to improve fluid movement.

In contrast, while notifying the healthcare provider may be necessary in cases where the issue persists, it is generally not the immediate action to take for inadequate drainage. Checking the peritoneal catheter for kinks is also vital, but it may not address the issue as effectively as repositioning the client. Increasing the dwell time could further complicate the situation and is not appropriate for immediate drainage issues. All these considerations make turning the client an appropriate and effective initial response.