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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:

Inserting a catheter into the bladder to collect urine is not related to diagnostic paracentesis for peritonitis.

Choice B reason:

Diagnostic paracentesis involves removing fluid from the peritoneal cavity for analysis, helping to identify the presence of infection or inflammation in the peritoneum.

Choice C reason:

Injecting contrast dye into the bloodstream for imaging is not a part of the diagnostic paracentesis procedure.

Choice D reason:

Taking a tissue sample from the peritoneal lining is not the purpose of diagnostic paracentesis.

A. Ascites B. Intestinal obstruction C. Appendicitis D. Pancreatitis

Correct Answer is B

Explanation

Choice A reason:

Ascites refers to the accumulation of fluid in the peritoneal cavity and does not necessarily cause bloating and distension of the abdomen in the context of peritonitis.

Choice B reason:

Intestinal obstruction can occur in peritonitis when inflammation or infection causes the intestines to become blocked, leading to bloating and distension of the abdomen.

Choice C reason:

Appendicitis is inflammation of the appendix and may cause pain, but it is not associated with generalized bloating and distension of the abdomen.

Choice D reason:

Pancreatitis is inflammation of the pancreas and may cause abdominal pain, but it is not associated with generalized bloating and distension of the abdomen.

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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 suspected peritonitis is scheduled for diagnostic paracentesis. The nurse explains to the client that this procedure involves:

Correct Answer is B

Explanation

A client with peritonitis is experiencing severe abdominal pain. The nurse assesses the client's abdomen and notes that it appears bloated and distended. The nurse recognizes this as a potential sign of:

Correct Answer is B

Explanation

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