During a home visit, a nurse observes a patient performing a peritoneal dialysis exchange. Which technique observed by the nurse indicates that the patient requires additional teaching?

The patient measures and documents vital signs and daily weight before and after dialysis exchanges.

The patient inspects the catheter insertion site daily for redness, swelling, or discharge and reports any abnormalities.

The patient uses sterile gloves and performs meticulous hand hygiene before connecting the dialysis catheter.

The patient drains the dialysate bag onto the floor and replaces it with a fresh bag without cleaning the floor first.