A nurse is providing discharge teaching for a client who is to perform peritoneal dialysis at home. Which of the following information should the nurse include?

Choice A reason: Anticipating mild pain or discomfort during the inflow of dialysate in the first week is expected. As the peritoneum adjusts to the fluid, clients may experience abdominal fullness or discomfort. This usually subsides as the body adapts. Teaching the client to expect this helps normalize the experience and reduces anxiety. Choice B reason: Redness at the catheter exit site is not expected and indicates possible infection. Proper care of the catheter site should prevent redness, swelling, or drainage. Teaching the client to report redness ensures early detection of peritonitis or exit-site infection. Choice C reason: Avoiding foods high in fiber is incorrect. Clients on peritoneal dialysis benefit from a balanced diet, including fiber, to prevent constipation. Constipation can impair dialysate flow and increase the risk of infection. Fiber intake is encouraged, not restricted. Choice D reason: Warming dialysate in a microwave oven is unsafe. Microwaves heat unevenly, creating hot spots that can burn the peritoneum. Dialysate should be warmed using a heating pad or warming device designed for dialysis solutions to ensure even, safe warming.