In assessing a client on CAPD who has had repeated episodes of peritonitis, the home care nurse notes a decline in the amount of outflow. What physiologic explanation can account for this decline?
A. The antibiotics prescribed for peritonitis can lead to scarring of the peritoneal membrane and decreased outflow.
B. The peritoneal catheter has caused a chronic inflammatory process and, therefore, must be changed.
C. Residue from the dialysate fluid has collected along the lumen of the catheter, impeding the flow of effluent.
D. Repeated episodes of peritonitis have caused a decline in the ultrafiltration capa-bility.
D
Repeated episodes of peritonitis can damage the peritoneal membrane, resulting in diminished ultrafiltration capability, which may necessitate transfer to hemodialysis.
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