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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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason:

Abdominal distension and decreased bowel sounds are classic signs of paralytic ileus, a common complication of peritonitis.

Choice B reason:

Gastroenteritis is inflammation of the gastrointestinal tract and may cause diarrhea and abdominal pain but is not related to the specific symptoms described.

Choice C reason:

Appendicitis is inflammation of the appendix and is not related to abdominal distension and decreased bowel sounds.

Choice D reason:

Constipation may cause abdominal distension, but decreased bowel sounds are not characteristic of constipation.

A. Abdominal compartment syndrome B. Respiratory distress syndrome C. Sepsis D. Gastrointestinal bleeding

Correct Answer is C

Explanation

Choice A reason:

Abdominal compartment syndrome may present with abdominal distension and firmness but is not directly associated with hypotension and tachycardia.

Choice B reason:

Respiratory distress syndrome may manifest with respiratory symptoms such as dyspnea and decreased oxygen saturation but is not directly associated with hypotension and tachycardia.

Choice C reason:

Sepsis is a systemic inflammatory response to infection and can cause hypotension and tachycardia as part of its clinical presentation.

Choice D reason:

Gastrointestinal bleeding may present with symptoms such as melena or hematemesis but is not directly associated with hypotension and tachycardia.

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A client with peritonitis develops a high fever, chills, and profuse sweating. The nurse recognizes these signs as indicative of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with peritonitis is experiencing abdominal distension and decreased bowel sounds. The nurse suspects the presence of:

Correct Answer is A

Explanation

A client with peritonitis develops hypotension and tachycardia. The nurse recognizes these signs as possible indications of which complication?

Correct Answer is C

Explanation

A nurse is caring for a client with peritonitis who developed sepsis. Which nursing intervention is the highest priority in managing this complication?

A client with peritonitis is prescribed intravenous (IV) opioids for pain management. The nurse closely monitors the client for which potential side effect?

A nurse is caring for a client with peritonitis and anticipates the need for a paracentesis. What is the purpose of a paracentesis in this client?

A nurse is caring for a client diagnosed with peritonitis. Which intervention is the highest priority in the management of this condition?

A nurse is assessing a client with suspected peritonitis. Which symptom should the nurse expect the client to report?

A client with peritonitis is at risk of developing septic shock. Which clinical manifestation should the nurse closely monitor to detect early signs of septic shock?

A client with peritonitis is prescribed a nasogastric (NG) tube for decompression. The nurse understands that the primary purpose of the NG tube is to:

A client with peritonitis develops a wound infection at the surgical site. Which nursing intervention is essential in preventing the spread of infection?