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?

Rationale: A. Nausea and vomiting are common early manifestations of peritonitis, the most serious complication of peritoneal dialysis. Other signs include cloudy or opaque dialysate outflow, abdominal pain or tenderness, fever, and rebound tenderness. These symptoms result from infection and inflammation of the peritoneal lining due to contamination during exchange procedures. B. Hyperactive bowel sounds may occur in gastrointestinal irritation or diarrhea, but peritonitis typically causes hypoactive or absent bowel sounds due to paralytic ileus from inflammation. C. Bradycardia is not associated with peritonitis; instead, clients may exhibit tachycardia and hypotension as signs of systemic infection or sepsis. D. Increased urinary output is unlikely in clients receiving peritoneal dialysis because most have little to no kidney function. Peritonitis does not increase urine production.