A client is diagnosed with chronic kidney disease and needs to begin dialysis. Which condition entered on the client’s medical record should the nurse recognize as a contraindication for peritoneal dialysis?

Choice A rationale Latent hepatitis C is not a contraindication for peritoneal dialysis. While it may require additional monitoring and treatment, it does not prevent a patient from receiving peritoneal dialysis. Choice B rationale Crohn’s disease with colectomy is a contraindication for peritoneal dialysis. The presence of extensive adhesions and fibrosis from the surgery can make the peritoneum unsuitable for dialysis. Choice C rationale A history of nephrotic syndrome is not a contraindication for peritoneal dialysis. Nephrotic syndrome is a kidney disorder, and peritoneal dialysis can be used as a treatment for patients with kidney disease. Choice D rationale Type 2 diabetes mellitus is not a contraindication for peritoneal dialysis. Many patients with diabetes undergo peritoneal dialysis. However, careful monitoring of blood glucose levels is necessary, as the dialysis solution used in peritoneal dialysis contains glucose.