Which of the following is a precaution during the exercise for peritoneal dialysis patients?

• A. Engage in heavy lifting to build strength
• B. Exercise with a full abdomen to maximize energy
• C. Avoid high intra-abdominal pressure exercises
• D. Ignore catheter site protection

Answer: (C)

During exercise for peritoneal dialysis patients, the main precaution is to avoid actions that push up pressure inside the abdomen. The dialysis solution sits in the peritoneal cavity, and high intra-abdominal pressure can push against the catheter, cause dialysate leaks, or even lead to hernias or catheter displacement. So choosing activities that do not strain the abdomen or raise this pressure is safest.

Engaging in heavy lifting would raise abdominal pressure and increase the risk of leaks or catheter problems, so it’s not advised. Exercising with a full abdomen similarly increases intra-abdominal pressure and can be uncomfortable and risky for the dialysis setup. Ignoring catheter site protection compromises infection control and the integrity of the catheter, which can lead to serious complications. The safest approach is to avoid high intra-abdominal pressure during physical activity.