A female patient with chronic kidney disease (CKD) is receiving peritoneal dialysis with 2-4 inflows. Which information should the nurse report promptly to the health care provider?

A. The patient's peritoneal effluent appears cloudy: Cloudy effluent is a key indicator of peritonitis, a serious complication of peritoneal dialysis. Early recognition and prompt reporting are critical to initiate antibiotic therapy and prevent systemic infection or sepsis. B. The patient has an outflow volume of 1800 ml: Variations in outflow volume can occur depending on the amount of dialysate instilled and individual patient factors. This finding alone, if within expected limits, does not indicate an immediate complication requiring urgent intervention. C. The patient has abdominal pain during the inflow phase: Mild abdominal discomfort during inflow is common due to the introduction of dialysate. While persistent or severe pain should be monitored, it does not automatically indicate peritonitis or require urgent reporting. D. The patient's abdomen appears bloated after the inflow: Temporary abdominal distension is typical as the dialysate fills the peritoneal cavity. This finding usually resolves once the fluid equilibrates and is not an urgent concern unless accompanied by other symptoms like cloudy effluent or severe pain.