A nurse is assisting with the care of a client who is receiving peritoneal dialysis. Which of the following actions should the nurse take when performing the procedure?

The scenario focuses on nursing actions during peritoneal dialysis administration. Knowledge of sterile technique, fluid dynamics, and physiological responses to intra-abdominal dialysate volume must be applied to ensure safe treatment execution and prevent complications. Choice A rationale Connecting dialysate tubing to the peritoneal catheter requires strict surgical asepsis to prevent peritonitis. Clean gloves are insufficient; the nurse must use sterile gloves and a sterile field for this connection. Choice B rationale Dialysis solution must be warmed to body temperature, approximately 37 degrees Celsius, not room temperature. Cold solution causes peritoneal vasoconstriction, abdominal cramping, and severely decreases the efficiency of solute clearance. Choice C rationale Maintaining bed rest or limiting activity during the dwell phase reduces intra-abdominal pressure and minimizes fluid shifting or leaking around the catheter site, promoting optimal dialysate retention and peritoneal membrane dwell efficiency. Choice D rationale The supine position increases intra-abdominal pressure against the diaphragm, which can cause respiratory distress during fluid instillation. A semi-Fowler position maximizes lung expansion and comfort while dialysate is in the cavity.