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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Administering pain medication is important for the client's comfort, but it is not the highest priority in the management of peritonitis. Addressing the underlying infection with antibiotics takes precedence.
Choice B reason:
Monitoring vital signs is essential for assessing the client's condition, but initiating antibiotic therapy is more critical to address the underlying infection.
Choice C reason:
Initiating intravenous (IV) antibiotic therapy is the highest priority in the management of peritonitis. Prompt administration of antibiotics is essential to treat the bacterial infection and prevent its spread.
Choice D reason:
Encouraging deep breathing and coughing exercises is beneficial for preventing respiratory complications, but it is not the highest priority compared to addressing the infection with antibiotics.
Correct Answer is D
Explanation
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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