A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?

C. Cloudy effluent is one of the earliest and most specific signs of peritonitis. It warrants immediate evaluation and diagnostic testing to confirm the diagnosis and initiate appropriate treatment.

A Generalized abdominal pain is a common symptom of peritonitis but may not be the earliest indication.

B. Tachycardia (increased heart rate) can occur in response to infection or inflammation, including peritonitis. It is a systemic response rather than a localized symptom.

D. Fever can also be associated with peritonitis but may appear later and is not as specific early indicators

B. Asking the client if they feel like they have food stuck at the base of their throat directly assesses for the hallmark symptom of dysphagia associated with achalasia. This symptom is crucial in diagnosing and monitoring the condition.

A This question assesses for symptoms of esophageal reflux (heartburn), which may not directly relate to the mechanical difficulty of swallowing associated with oral achalasia.

C. This question focuses on sensations of fullness in the neck, which may not specifically relate to swallowing difficulty associated with achalasia.

D. This question assesses for pain during swallowing, which can occur in conditions affecting the throat or esophagus, but it does not specifically address the unique symptom of feeling like food is stuck, which is more typical in achalasia.