Peritoneal dialysis (PD) is a renal replacement modality that uses the peritoneal membrane as a semi-permeable dialysis interface, with dialysate instilled through a Tenckhoff catheter to perform solute clearance and ultrafiltration. PD is performed at home (continuous ambulatory PD/CAPD or automated PD/APD), making nursing recognition of complications critical during both inpatient and outpatient encounters. The most dangerous complication — peritonitis — accounts for the majority of PD discontinuations and can progress to sepsis and death within hours of missed treatment. The three immediate nursing priorities when a PD patient presents with cloudy effluent are: (1) collect the effluent for cell count, Gram stain, and culture before administering antibiotics, (2) initiate empiric intraperitoneal antibiotics per centre protocol, and (3) do not stop PD exchanges while treating peritonitis (continue to flush and drain). Common NCLEX trap: Selecting to stop peritoneal dialysis exchanges while peritonitis is being treated. The correct action is to continue PD (more frequent exchanges help clear bacteria from the peritoneum) while adding IP antibiotics to the dialysate. On the exam, writers often pair stable-sounding options with unstable data—notice the...