A client with peritonitis develops a wound infection at the surgical site. Which nursing intervention is essential in preventing the spread of infection?
Administering oral antibiotics
Performing sterile dressing changes
Limiting visitors to the client's room
Providing pain medication as needed
The Correct Answer is B
Choice A reason:
Administering oral antibiotics may be necessary for treating the wound infection, but it does not directly prevent the spread of infection.
Choice B reason:
Performing sterile dressing changes is essential in preventing the spread of infection and promoting wound healing.
Choice C reason:
Limiting visitors to the client's room may help reduce the risk of introducing new pathogens, but it is not the primary intervention for preventing wound infection.
Choice D reason:
Providing pain medication as needed is important for the client's comfort but does not directly prevent the spread of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Anemia refers to a low red blood cell count or hemoglobin level and is not directly related to an elevated white blood cell count.
Choice B reason:
An elevated white blood cell count is a common indicator of infection, such as in peritonitis, as the body's immune response is heightened to combat the inflammation and infection.
Choice C reason:
Hypoalbuminemia refers to low albumin levels in the blood and is not directly related to an elevated white blood cell count.
Choice D reason:
Dehydration may result in elevated blood cell counts due to hemoconcentration, but it is not the primary cause of an elevated white blood cell count in peritonitis.
Correct Answer is C
Explanation
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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