A client with peritonitis develops a high fever, chills, and profuse sweating. The nurse recognizes these signs as indicative of:
Hypoglycemia
Hyperthyroidism
Sepsis
Renal failure
The Correct Answer is C
Choice A reason:
Hypoglycemia refers to low blood sugar levels and is not directly related to the signs described in the scenario.
Choice B reason:
Hyperthyroidism involves an overactive thyroid gland and may cause symptoms such as weight loss and heat intolerance but is not associated with the signs described.
Choice C reason:
The client's high fever, chills, and profuse sweating are suggestive of sepsis, a severe systemic infection often resulting from peritonitis.
Choice D reason:
Renal failure involves impaired kidney function and may present with specific signs, but it is not directly related to the signs described in the scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Fever and diarrhea are not specific early signs of peritonitis.
Choice B reason:
Abdominal distension and flatulence may occur for various reasons after abdominal surgery, but they are not specific to peritonitis.
Choice C reason:
Nausea and vomiting can be caused by various post-operative factors and are not specific to peritonitis.
Choice D reason:
Sudden-onset severe abdominal pain and tenderness are classic early signs of peritonitis and indicate the need for immediate medical attention.
Correct Answer is B
Explanation
Choice A reason:
Preventing aspiration pneumonia is one of the benefits of an NG tube, but the primary purpose in peritonitis is to relieve abdominal distension caused by fluid and gas accumulation.
Choice B reason:
Relieving abdominal distension is the primary purpose of an NG tube in clients with peritonitis, as it helps remove fluid and gas from the stomach and intestines, reducing pressure on the peritoneum.
Choice C reason:
Monitoring gastric pH levels may be done with an NG tube in certain situations, but it is not the primary purpose in the context of peritonitis.
Choice D reason:
Administering enteral nutrition may be a secondary purpose of an NG tube in some cases, but it is not the primary goal in clients with peritonitis.
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