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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:

Referred pain is pain that is felt in a different location from its source, and it is not directly associated with the sharp, sudden-onset pain described by the client.

Choice B reason:

Visceral pain arises from the internal organs and is often described as sharp and colicky. It worsens with movement and is a characteristic feature of peritonitis.

Choice C reason:

Neuropathic pain is caused by nerve damage and is not typically associated with peritonitis.

Choice D reason:

Radiating pain is pain that extends from its source to other areas, and it is not specifically described in the scenario.

A. Hypoglycemia B. Hyperthyroidism C. Sepsis D. Renal failure

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.

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

Correct Answer is B

Explanation

A client with peritonitis develops a high fever, chills, and profuse sweating. The nurse recognizes these signs as indicative of:

Correct Answer is C

Explanation

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?

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