Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's uremia. Which finding signals a significant problem during this procedure?

• A. White blood cell (WBC) count of 20,000/mm3
• B. Hemoglobin 14 g/dL
• C. Platelet count 200,000/mm3
• D. Sodium 140 mEq/L

Answer: (A)

The main concept is recognizing infection as a major complication to watch for during peritoneal dialysis. A white blood cell count of 20,000/mm3 indicates an acute inflammatory response, which can reflect an infection such as peritonitis or a catheter-related infection related to the dialysis procedure. This is a red flag requiring prompt assessment and intervention. The other labs—hemoglobin, platelets, and sodium—are within normal ranges and do not point to an acute dialysis-related problem. So the elevated WBC count is the signal to evaluate for infection, monitor for signs like fever, abdominal pain, or cloudy effluent, and initiate appropriate management.