A client with peritonitis is at risk of developing hypovolemic shock. Which assessment finding should the nurse be most concerned about?
Bradycardia
Hypotension
bowel sounds
Increased urine output
The Correct Answer is B
Choice A reason:
Bradycardia is not a concerning finding in this context and may indicate a vagal response or be a side effect of certain medications.
Choice B reason:
Hypotension is a concerning finding and may indicate hypovolemic shock, a potentially life-threatening complication of peritonitis.
Choice C reason:
Hyperactive bowel sounds are not a concerning finding in this context and may be a sign of gastrointestinal motility.
Choice D reason:
Increased urine output may be a positive finding but does not directly relate to the development of hypovolemic shock.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Hypoglycemia refers to low blood sugar levels and is not directly related to the signs described in the scenario.
Choice B reason:
Hyperthyroidism involves an overactive thyroid gland and may cause symptoms such as weight loss and heat intolerance but is not associated with the signs described.
Choice C reason:
The client's high fever, chills, and profuse sweating are suggestive of sepsis, a severe systemic infection often resulting from peritonitis.
Choice D reason:
Renal failure involves impaired kidney function and may present with specific signs, but it is not directly related to the signs described in the scenario.
Correct Answer is A
Explanation
Choice A reason:
Peritoneal dialysis involves inserting a catheter into the peritoneal cavity, which can increase the risk of infection at the insertion site and lead to peritonitis.
Choice B reason:
High blood pressure is not directly related to an increased risk of peritonitis in clients undergoing peritoneal dialysis.
Choice C reason:
Elevated cholesterol levels are not directly related to an increased risk of peritonitis in clients undergoing peritoneal dialysis.
Choice D reason:
An allergic reaction to the dialysis solution is a possibility but is not the primary reason for an increased risk of peritonitis in clients undergoing peritoneal dialysis.
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