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 B

Explanation

Choice A reason:

Inserting a catheter into the bladder to collect urine is not related to diagnostic paracentesis for peritonitis.

Choice B reason:

Diagnostic paracentesis involves removing fluid from the peritoneal cavity for analysis, helping to identify the presence of infection or inflammation in the peritoneum.

Choice C reason:

Injecting contrast dye into the bloodstream for imaging is not a part of the diagnostic paracentesis procedure.

Choice D reason:

Taking a tissue sample from the peritoneal lining is not the purpose of diagnostic paracentesis.

A. To remove excess air from the peritoneal cavity B. To drain infected fluid from the peritoneal cavity C. To visualize the abdominal organs using a scope D. To monitor intra-abdominal pressure

Correct Answer is B

Explanation

Choice A reason:

Paracentesis is not used to remove excess air from the peritoneal cavity.

Choice B reason:

Paracentesis is a procedure used to drain infected fluid or pus from the peritoneal cavity in cases of peritonitis.

Choice C reason:

Visualizing the abdominal organs using a scope is not the purpose of a paracentesis.

Choice D reason:

Monitoring intra-abdominal pressure is not the purpose of a paracentesis.

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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 suspected peritonitis is scheduled for diagnostic paracentesis. The nurse explains to the client that this procedure involves:

Correct Answer is B

Explanation

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?

Correct Answer is B

Explanation

A client is undergoing peritoneal dialysis. The nurse recognizes that this client is at an increased risk of developing peritonitis due to:

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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?

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A client is admitted to the hospital with peritonitis. The nurse is conducting an assessment and asks the client about their recent medical history. Which risk factor is most likely associated with the development of peritonitis in this client?