For a patient on CAPD, which nursing diagnosis is most appropriate?

• A. Risk for infection
• B. Risk for fluid volume deficit
• C. Risk for infection overload
• D. Acute confusion

Answer: (A)

Continuous ambulatory peritoneal dialysis introduces a catheter directly into the peritoneal cavity, making infection a primary concern. The most important nursing diagnosis reflects the high risk of peritoneal infection (peritonitis) and exit-site infection, which can rapidly lead to serious complications if not detected and treated promptly. Emphasizing infection prevention—strict aseptic technique during exchanges, careful exit-site care, and diligent hand hygiene—helps protect the patient and preserve the effectiveness of the dialysis. Monitoring for signs such as cloudy dialysate, abdominal pain, fever, or malaise and pursuing prompt cultures and treatment when needed are essential interventions. While fluid balance and other issues can arise, they are not as inherently critical to address first as the risk for infection in CAPD.