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?

A. Warm the dialysate solution prior to instillation: Warming the solution to body temperature promotes comfort, enhances diffusion of solutes, and helps prevent abdominal cramping. It supports effective dialysate exchange and patient tolerance. B. Maintain the client in a left lateral position during dialysis: The client’s position may be adjusted if outflow is poor, but there is no requirement to maintain a left lateral position throughout. Supine or slightly elevated head positions are usually preferred. C. Monitor vital signs every 2 hours during the procedure: While monitoring is important, more frequent assessments may be needed, especially at the start of treatment. This intervention is supportive but not specific to ensuring dialysate exchange. D. Place the drainage bag above the level of the client's abdomen: The drainage bag should always be positioned below abdominal level to allow gravity-assisted drainage. Placing it above would hinder outflow and compromise exchange efficiency.