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

Abdominal compartment syndrome

Respiratory distress syndrome

Sepsis

Gastrointestinal bleeding

Answer and Explanation

The Correct Answer is C

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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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.

A. Hypovolemic shock B. Paralytic ileus C. Intestinal obstruction D. Urinary retention

Correct Answer is B

Explanation

Choice A reason:

Hypovolemic shock involves severe blood loss or fluid depletion and may present with signs of hypotension and tachycardia but is not directly related to the findings described.

Choice B reason:

Paralytic ileus is a lack of bowel motility that causes abdominal distension and decreased bowel sounds, and it is a common complication of peritonitis.

Choice C reason:

Intestinal obstruction involves a blockage of the intestines and may present with abdominal distension and altered bowel sounds, but it is not directly related to peritonitis in this context.

Choice D reason:

Urinary retention involves the inability to empty the bladder fully and is not related to the findings described in the scenario.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

A client with peritonitis experiences abdominal distension and decreased bowel sounds on auscultation. The nurse recognizes these findings as suggestive of:

Correct Answer is B

Explanation

A client with peritonitis is experiencing severe abdominal pain. The nurse recognizes that this pain may be exacerbated by which factor?

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

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?

A nurse is providing education to a group of older adult clients about the risk factors for peritonitis. Which factor is most likely to increase the susceptibility to peritonitis in older adults?

A nurse is preparing a care plan for a client with peritonitis. Which nursing intervention is essential to include in the plan to address potential complications of this condition?

A nurse is caring for a client with peritonitis and is reviewing the client's medical history. Which condition places the client at an increased risk of developing peritonitis?

A client with peritonitis is receiving intravenous (IV) antibiotics. The nurse should monitor the client for which potential side effect of antibiotic therapy?