A nurse is assessing a client who has type 1 diabetes mellitus and has a blood glucose level of 550 mg/dL. Which of the following should the nurse assess the client for if diabetic ketoacidosis (DKA) is suspected?

Choice A reason: A strong odor in the first-voided urine can be normal, especially if it's concentrated after a night's sleep.

Choice B reason: An output of 175 mL in 8 hours is concerning, as it indicates oliguria, which is a urine output of less than 400 mL in 24 hours, and can be a sign of worsening renal function.

Choice C reason: An output of 2,200 mL in 24 hours is within normal urine output ranges, which is typically 800 to 2,000 mL per day for an average adult.

Choice D reason: Urine becoming cloudy after sitting for a period is common due to precipitation of salts and proteins at lower temperatures.

Choice A reason: Warming the dialysate in a microwave oven is not recommended because uneven heating could occur, leading to hot spots that can burn the peritoneal cavity. The dialysate should be warmed to body temperature using a warming device designed for this purpose.

Choice B reason: While some discomfort may be experienced during the first few exchanges, significant pain is not expected. If pain occurs, it should be reported to a healthcare provider, as it may indicate an underlying problem.

Choice C reason: Redness at the catheter exit site is not a normal expectation and could indicate an infection. The site should be kept clean and dry, and any signs of redness, swelling, or discharge should be reported to a healthcare provider immediately.

Choice D reason: There is no need to avoid foods high in fiber unless otherwise advised by a healthcare provider. In fact, a diet high in fiber can be beneficial for bowel regularity, which is important for patients on peritoneal dialysis.