A nurse is planning care for a client who has chemotherapy-related immunosuppression. Which of the following interventions should the nurse add to the client's plan of care?

A. Wrap the dialysate with a heating pad before instillation: Warming the dialysate to body temperature helps prevent abdominal cramping and promotes comfort during infusion. It should be warmed using a heating pad, not a microwave, to ensure safe, even heating.

B. Use clean technique when performing the procedure: Peritoneal dialysis requires strict aseptic technique to prevent peritonitis, a serious infection. Clean technique is not sufficient for this sterile procedure and increases infection risk.

C. Advance the catheter into the peritoneum to promote drainage: The catheter should never be advanced by the client. It is surgically placed and should remain secure; any manipulation can cause injury or dislodgment.

D. Lie in the same position throughout the procedure: Changing positions may actually help facilitate better drainage. Clients are often encouraged to move or reposition slightly if drainage is sluggish. Remaining in one position is not necessary.

A. Abdominal distention: Paralytic ileus is a temporary cessation of bowel motility, often following surgery, especially abdominal or orthopedic procedures. Distention occurs due to accumulation of gas and fluid in the intestines and is a key indicator.

B. Oliguria: Reduced urine output may suggest dehydration or kidney issues but is not specific to paralytic ileus. It does not directly reflect gastrointestinal motility or function.

C. Dizziness: Dizziness can result from various causes like blood loss, medication, or orthostatic hypotension, but it is not a clinical sign of paralytic ileus and does not relate to bowel activity.

D. Watery stool: Watery or loose stools are more characteristic of diarrhea or bowel irritation. In paralytic ileus, bowel movement is typically absent, and stool passage is minimal or stopped.