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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Removal of fluid from the pleural cavity would be a thoracentesis, not a paracentesis.
Choice B reason:
Removal of fluid from the pericardial sac would be a pericardiocentesis, not a paracentesis.
Choice C reason:
A diagnostic paracentesis involves removing fluid from the peritoneal cavity to analyze for signs of infection and inflammation, which is important in diagnosing peritonitis.
Choice D reason:
Removal of fluid from the spinal canal would be a lumbar puncture, not a paracentesis.
Correct Answer is A
Explanation
Choice A reason:
Abdominal distension and decreased bowel sounds are classic signs of paralytic ileus, a common complication of peritonitis.
Choice B reason:
Gastroenteritis is inflammation of the gastrointestinal tract and may cause diarrhea and abdominal pain but is not related to the specific symptoms described.
Choice C reason:
Appendicitis is inflammation of the appendix and is not related to abdominal distension and decreased bowel sounds.
Choice D reason:
Constipation may cause abdominal distension, but decreased bowel sounds are not characteristic of constipation.
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