A nurse is developing a plan of care for a client who is to begin receiving peritoneal dialysis. Which of the following interventions should the nurse implement to ensure proper dialysate exchange?

Choice A reason: Warming the dialysate to body temperature before instillation promotes comfort and facilitates optimal diffusion during dialysis. Cold dialysate can cause abdominal cramping and reduce the efficiency of solute exchange. Choice B reason: While monitoring vital signs is important, it is not required every 2 hours unless the patient is unstable. Routine monitoring is based on the patient’s condition and institutional protocols. Choice C reason: The client should be in a semi-Fowler’s or supine position to allow gravity-assisted flow of dialysate. Left lateral positioning is not standard and may hinder proper exchange. Choice D reason: The drainage bag must be placed below the level of the abdomen to facilitate gravity drainage of the dialysate. Placing it above the abdomen would impede outflow and risk fluid retention.