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
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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Related Questions
Correct Answer is C
Explanation
Choice A reason:
Chest pain is not a typical symptom of peritonitis, as the condition primarily affects the abdomen.
Choice B reason:
A severe headache is not a characteristic symptom of peritonitis.
Choice C reason:
Abdominal pain and tenderness are hallmark symptoms of peritonitis, resulting from inflammation of the peritoneum lining the abdominal cavity.
Choice D reason:
Shortness of breath is not a common symptom of peritonitis unless there is an associated respiratory complication.
Correct Answer is B
Explanation
Choice A reason:
Changing the IV site every 24 hours is not necessary for IV antibiotic administration unless there is an indication of infiltration or infection at the site.
Choice B reason:
Administering the antibiotics using an infusion pump is essential to ensure accurate and controlled delivery of the medication, particularly when the client's condition requires a precise dosing schedule.
Choice C reason:
Discontinuing the antibiotics after 48 hours of improvement may lead to a recurrence of the infection. Clients with peritonitis often require a full course of antibiotic therapy to ensure complete eradication of the infection.
Choice D reason:
Administering the antibiotics through a peripheral IV catheter may not be suitable for the client's condition, as peritonitis may necessitate the use of a central line for administration of IV medications.
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