The nurse in the dialysis unit is initiating the morning scheduled dialysis clients. Which client would the nurse prioritize to assess first?

The client on peritoneal dialysis who is reporting a hard and rigid abdomen.

The client who does not have a palpable thrill or auscultated bruit.

The client who is reporting a 3.6 kg weight gain and it refusing dialysis.

The client who has a hemoglobin of 9.0 mg/dL (12.0-15.5 mg/dL) and hematocrit of 26% (36.1% -44.3%).