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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason:

Severe headache and neck stiffness are signs of meningitis and are not directly related to peritonitis.

Choice B reason:

Rapid and shallow breathing may occur with other respiratory conditions but is not a hallmark sign of peritonitis.

Choice C reason:

Abdominal rigidity and tenderness are hallmark signs of peritonitis and are caused by the inflammation of the peritoneum.

Choice D reason:

Hyperactive bowel sounds may occur with gastrointestinal disorders but are not specific to peritonitis.

A. Administering oral antibiotics B. Performing sterile dressing changes C. Limiting visitors to the client's room D. Providing pain medication as needed

Correct Answer is B

Explanation

Choice A reason:

Administering oral antibiotics may be necessary for treating the wound infection, but it does not directly prevent the spread of infection.

Choice B reason:

Performing sterile dressing changes is essential in preventing the spread of infection and promoting wound healing.

Choice C reason:

Limiting visitors to the client's room may help reduce the risk of introducing new pathogens, but it is not the primary intervention for preventing wound infection.

Choice D reason:

Providing pain medication as needed is important for the client's comfort but does not directly prevent the spread of infection.

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A client with peritonitis is at risk of developing hypovolemic shock. Which assessment finding should the nurse be most concerned about?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with suspected peritonitis. Which clinical finding is a hallmark sign of this condition?

Correct Answer is C

Explanation

A client with peritonitis develops a wound infection at the surgical site. Which nursing intervention is essential in preventing the spread of infection?

Correct Answer is B

Explanation

A client is admitted to the hospital with peritonitis. The nurse is conducting an assessment and asks the client about their recent medical history. Which risk factor is most likely associated with the development of peritonitis in this client?

A client with peritonitis is prescribed intravenous (IV) fluid resuscitation. The nurse understands that the primary goal of fluid resuscitation is to:

A nurse is assisting with a diagnostic paracentesis for a client with suspected peritonitis. The nurse understands that this procedure involves:

A nurse is reviewing the laboratory results of a client suspected of having peritonitis. Which finding is most indicative of this condition?

A client with peritonitis reports experiencing sharp, sudden-onset pain that worsens with movement. The nurse recognizes this type of pain as:

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

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 nurse caring for a client with peritonitis observes the client assuming a fetal position and exhibiting restlessness. The nurse interprets these behaviors as indicative of: