護理師照護一位接受腹膜透析（PD）的末期腎臟病（ESRD）病人，病人主訴透析液（effluent）混濁。此發現最可能表示什麼？
A nurse is caring for a client with end-stage renal disease (ESRD) who is on peritoneal dialysis (PD). The client reports cloudy dialysate effluent. What does this finding most likely indicate?
- AInadequate fluid removal液體移除不足
- BPeritonitis✓ 正解腹膜炎
- CConstipation便秘
- DA leak in the PD catheterPD導管泄漏
腹膜透析（PD）病人若發現透析液（Effluent）變得混濁，這是腹膜炎（Peritonitis）的典型徵兆。腹膜炎是腹膜透析最嚴重、最常見的併發症。若出現混濁，護理師應立即收集樣本送檢，通知醫師並啟動抗生素治療。其他選項（管路漏液、便秘、液體移除不足）的表現通常為引流量異常或疼痛，而非透析液混濁。
If the dialysate effluent in a peritoneal dialysis (PD) patient becomes cloudy, this is the classic sign of peritonitis, which is the most serious and most common complication of peritoneal dialysis. When the effluent becomes cloudy, the nurse should immediately collect a sample for laboratory testing, notify the physician, and initiate antibiotic therapy. The other options (catheter leakage, constipation, and inadequate fluid removal) usually present as abnormal drainage volume or pain rather than cloudy effluent.