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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?

Increased blood pressure

Bradycardia

Warm, flushed skin

Rapid, shallow breathing

Answer and Explanation

The Correct Answer is D

Choice A reason:

Increased blood pressure is not characteristic of septic shock. Septic shock is associated with low blood pressure.

Choice B reason:

Bradycardia is not a typical sign of septic shock. Tachycardia is more common in septic shock.

Choice C reason:

Warm, flushed skin is not typical in septic shock. Septic shock is associated with cold, clammy skin.

Choice D reason:

Rapid, shallow breathing is a common early sign of septic shock and indicates the body's attempt to compensate for the decreased cardiac output.

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Correct Answer is B

Explanation

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.

A. Increased urine output B. Abdominal distension and firmness C. Normal respiratory rate D. Mild incisional pain

Correct Answer is B

Explanation

Choice A reason:

Increased urine output is not a concerning finding in this context and may indicate adequate fluid resuscitation.

Choice B reason:

Abdominal distension and firmness are concerning findings and may indicate the development of abdominal compartment syndrome, a serious complication of peritonitis.

Choice C reason:

Normal respiratory rate is a positive finding, but it does not directly relate to the development of abdominal compartment syndrome.

Choice D reason:

Mild incisional pain is expected after surgery, but it does not indicate the development of abdominal compartment syndrome.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

A nurse is caring for a client with peritonitis who is at risk of developing abdominal compartment syndrome. Which assessment finding should the nurse be most concerned about?

Correct Answer is B

Explanation

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