A client with peritonitis is prescribed intravenous (IV) fluid resuscitation. The nurse understands that the primary goal of fluid resuscitation is to:
Correct electrolyte imbalances
Prevent circulatory collapse
Maintain adequate urine output
Restore fluid balance
The Correct Answer is B
Choice A reason:
Correcting electrolyte imbalances is important in fluid resuscitation, but the primary goal is to prevent circulatory collapse and restore hemodynamic stability.
Choice B reason:
The primary goal of fluid resuscitation in peritonitis is to prevent circulatory collapse and maintain adequate blood pressure and perfusion to vital organs.
Choice C reason:
Maintaining adequate urine output is one of the indicators of effective fluid resuscitation, but it is not the primary goal in this context.
Choice D reason:
Restoring fluid balance is a goal of fluid resuscitation, but the primary focus is on preventing circulatory collapse and ensuring adequate tissue perfusion.
Nursing Test Bank
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 managing sepsis, a life-threatening complication 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 broad-spectrum antibiotic therapy is more critical in managing sepsis.
Choice C reason:
Initiating broad-spectrum antibiotic therapy is the highest priority in managing sepsis. Prompt administration of antibiotics is crucial to treat the bacterial infection and prevent its spread.
Choice D reason:
Providing deep breathing exercises is important for preventing respiratory complications, but it is not the highest priority compared to addressing sepsis with antibiotics.
Correct Answer is B
Explanation
Choice A reason:
Increased production of stomach acid is not directly related to peritonitis.
Choice B reason:
Cirrhosis is a condition where the liver is scarred and impaired in function. The liver plays a crucial role in immune function, and impaired liver function can lead to increased susceptibility to infections like peritonitis.
Choice C reason:
Gallbladder dysfunction is not directly related to peritonitis.
Choice D reason:
Chronic lung disease is not directly related to peritonitis.
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