What nursing intervention is essential for a client on peritoneal dialysis?

The essential nursing intervention for a client on peritoneal dialysis is monitoring for signs of infection. Peritoneal dialysis involves the use of a catheter inserted into the abdominal cavity to allow for the exchange of waste products and excess fluids. This process creates an entry point that can be susceptible to infections, particularly peritonitis, which is a common and serious complication associated with this type of dialysis.

Monitoring for signs of infection is crucial because early detection can facilitate prompt treatment, which is vital in preventing the escalation of more severe complications. Signs to observe include redness, warmth, swelling around the catheter site, and any discharge or foul odor. Additionally, symptoms such as abdominal pain and fever may indicate peritonitis and require immediate medical attention.

While encouraging high fluid intake and administering diuretics may seem beneficial, they are not appropriate interventions in the context of peritoneal dialysis, as the need is for waste removal without additional fluid overload. Changing dressings is necessary but not as critical as the vigilant monitoring for infection, which directly impacts the client's health outcomes in this scenario.