Question

a client with end - stage kidney disease (eskd) begins peritoneal dialysis. the nurse observes for which signs or symptoms indicating peritonitis? select all that apply.
answer options
1 nausea and vomiting
2 poor dialysate outflow
3 abdominal tenderness
4 cloudy peritoneal effluent
5 oral temperature of 38° c
6 clear fluid leakage at the catheter exit site

Explanation:

Peritonitis in peritoneal - dialysis patients can present with nausea and vomiting due to abdominal irritation. Poor dialysate outflow can occur as a result of inflammation - related changes in the peritoneal cavity. Abdominal tenderness is a common sign of peritoneal inflammation. Cloudy peritoneal effluent indicates the presence of white blood cells and other inflammatory components. A fever (oral temperature of 38°C) is also a sign of an inflammatory process. Clear fluid leakage at the catheter exit site is not a sign of peritonitis but may be related to other issues like a loose catheter or poor healing at the exit site.

Answer:

1. Nausea and vomiting
2. Poor dialysate outflow
3. Abdominal tenderness
4. Cloudy peritoneal effluent
5. Oral temperature of 38°C