In performing wound care with peritoneal irrigation through a drain, which finding would alert the nurse that the client is retaining the irrigant?
A. Hyperactive bowel sounds in all quadrants
B. Tympany to percussion of the abdomen
C. Abdominal distention and pain
D. Tenting of the abdominal skin
C
The presence of abdominal distention and pain is an indication that the client may be retaining the irrigant. The nurse also monitors irrigant intake and output.
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