When caring for the patient who is on peritoneal dialysis and complains of abdominal pain, chills, and nausea, the nurse knows these signs may be an Indication of

A. Systemic infection: While systemic infections can cause fever and chills, the combination of abdominal pain, nausea, and signs localized to the peritoneal cavity is more indicative of a localized complication rather than a generalized infection. B. Fluid is too warm: Warm dialysate may cause mild discomfort or flushing, but it is unlikely to produce chills, nausea, or significant abdominal pain. Temperature-related discomfort is usually transient and less severe. C. Fluid is too cold: Cold dialysate can cause cramping or shivering, but persistent abdominal pain accompanied by nausea and systemic signs like chills suggests a pathological process rather than a simple temperature issue. D. Peritonitis: Peritonitis is a common complication of peritoneal dialysis, characterized by abdominal pain, tenderness, nausea, and often fever or chills. Prompt recognition is essential to initiate treatment and prevent serious complications.