What should the nurse instruct a client undergoing peritoneal dialysis about fluid drainage?

The client undergoing peritoneal dialysis should understand that the fluid returned, or effluent, is expected to be clear in appearance. This clarity indicates that the dialysis process is functioning correctly and that there are no complications such as infection or inflammation. In normal circumstances, the effluent may have a straw-colored hue, similar to that of normal body fluids, and the presence of cloudiness or sediment can suggest issues such as infections or the presence of additional materials that should not be there.

While infusion and drainage parameters and techniques are crucial in peritoneal dialysis, the focus on the clarity of the return fluid is pivotal for monitoring the effectiveness of the treatment and identifying potential complications. Clear fluid supports the assessment of the patient’s condition and guides further interventions if necessary. If the effluent is not clear, additional assessments and possibly a consultation with a healthcare provider may be needed to address any underlying issues.

The other options, concerning fluid instillation rates, temperature, and responses to incomplete drainage, involve specific procedural elements that may be relevant in certain circumstances but do not directly convey the most critical aspect of monitoring dialysis effectiveness, which is the clarity of the returned fluid.