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 B

Explanation

Choice A reason:

Assessing for peripheral edema is important for clients with various conditions, but it is not directly related to the potential complications of peritonitis.

Choice B reason:

Monitoring blood glucose levels regularly is essential in clients with peritonitis, as hyperglycemia can be a complication of the inflammatory response and stress associated with the condition.

Choice C reason:

Encouraging fluid intake is essential 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:

Implementing fall precautions is important for clients at risk of falls, but it is not directly related to potential complications of peritonitis.

A. Inserting a catheter into the bladder to collect urine B. Removing fluid from the peritoneal cavity for analysis C. Injecting contrast dye into the bloodstream for imaging D. Taking a tissue sample from the peritoneal lining

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.

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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 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?

Correct Answer is B

Explanation

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 providing care to a client with peritonitis and is reviewing the client's medication history. Which medication places the client at an increased risk of developing peritonitis?

A nurse is caring for a client with peritonitis who developed sepsis. Which nursing intervention is the highest priority in managing this complication?

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

A client with peritonitis is at risk of developing septic shock. Which clinical manifestation should the nurse closely monitor to detect early signs of septic shock?

A client with peritonitis is prescribed intravenous (IV) antibiotics. The nurse ensures to:

A client presents to the emergency department with severe abdominal pain, tenderness, and fever. The client reports a recent history of ruptured appendix. The nurse suspects the client may be experiencing:

A client is recovering from peritonitis and is being discharged from the hospital. The nurse provides discharge instructions and emphasizes the importance of: