A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?

A. Bradycardia: Infection and inflammation typically cause an increased heart rate (tachycardia), not bradycardia. Bradycardia is not a common manifestation of peritonitis and would not be expected in this context. B. Hyperactive bowel sounds: Bowel sounds are usually unaffected by peritonitis caused by peritoneal dialysis. If anything, bowel activity may decrease due to discomfort or inflammation. C. Nausea and vomiting: These are classic signs of peritonitis. The infection and inflammation of the peritoneal lining can lead to gastrointestinal distress, making this an important clinical cue. D. Increased urinary output: Clients on peritoneal dialysis often have reduced kidney function and therefore low urine output. Increased urinary output is not a symptom of peritonitis and may be unrelated.