A client with peritonitis develops acute kidney injury (AKI). Which nursing intervention is essential in the management of this complication?

Monitoring blood glucose levels

Administering pain medication as prescribed

Encouraging fluid intake to 3 liters per day

Maintaining fluid and electrolyte balance

Answer and Explanation

The Correct Answer is D

Choice A reason:

Monitoring blood glucose levels is important for clients with various conditions, but it is not directly related to the management of acute kidney injury (AKI) in peritonitis.

Choice B reason:

Administering pain medication is essential for managing the client's pain and providing comfort during treatment, but it is not directly related to the management of acute kidney injury.

Choice C reason:

Encouraging fluid intake is important for clients with peritonitis, but the specific recommendation of 3 liters per day is not universally applicable and may vary based on individual client needs and medical status.

Choice D reason:

Maintaining fluid and electrolyte balance is crucial in managing acute kidney injury in peritonitis. The nurse should closely monitor the client's fluid intake, output, and electrolyte levels and collaborate with the healthcare team to adjust the fluid therapy as needed.

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Correct Answer is C

Explanation

Choice A reason:

Bradycardia is not a common side effect of opioid use in clients with peritonitis.

Choice B reason:

Hypertension is not a common side effect of opioid use in clients with peritonitis.

Choice C reason:

Respiratory depression is a potential side effect of opioid use and is a significant concern in clients with peritonitis, as they may already have compromised respiratory function.

Choice D reason:

Diarrhea is not

a common side effect of opioid use in clients with peritonitis.

A. A 22-year-old female with a history of allergies B. A 45-year-old male with a history of diabetes C. A 35-year-old female with a history of hypertension D. A 60-year-old male with a history of inflammatory bowel disease

Correct Answer is D

Explanation

Choice A reason:

Having a history of allergies is not a risk factor for peritonitis.

Choice B reason:

Having a history of diabetes is not a risk factor for peritonitis.

Choice C reason:

Having a history of hypertension is not a risk factor for peritonitis.

Choice D reason:

A history of inflammatory bowel disease is a significant risk factor for peritonitis, especially if there are complications such as bowel perforation.

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A client with peritonitis develops acute kidney injury (AKI). Which nursing intervention is essential in the management of this complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

A nurse is providing education to a group of clients about peritonitis and its risk factors. Which client is at the highest risk for developing peritonitis?

Correct Answer is D

Explanation

A client with peritonitis presents with an elevated temperature, rapid heart rate, and shallow breathing. The nurse recognizes these signs as indicative of:

A nurse is caring for a client with a recent perforated gastric ulcer. The nurse identifies that the client is at risk of developing peritonitis due to:

A client with peritonitis is prescribed intravenous (IV) fluid resuscitation. The nurse understands that the primary goal of fluid resuscitation is to:

A nurse caring for a client with peritonitis observes the client assuming a fetal position and exhibiting restlessness. The nurse interprets these behaviors as indicative of:

A nurse is assisting with a diagnostic paracentesis for a client with suspected peritonitis. The nurse understands that this procedure involves:

A client with peritonitis develops an elevated white blood cell count. The nurse recognizes this laboratory finding as indicative of:

A nurse is assessing a client with suspected peritonitis. Which clinical finding is a hallmark sign of this condition?

A nurse is caring for a client with peritonitis and observes a rigid, board-like abdomen upon palpation. The nurse recognizes this finding as: