A client with peritonitis presents with an elevated temperature, rapid heart rate, and shallow breathing. The nurse recognizes these signs as indicative of:
Hypothermia
Hypertension
Hyperventilation
Systemic inflammatory response
The Correct Answer is D
Choice A reason:
Hypothermia refers to abnormally low body temperature and is not associated with the clinical presentation of peritonitis.
Choice B reason:
Hypertension refers to high blood pressure and is not directly associated with the signs of peritonitis.
Choice C reason:
Hyperventilation involves rapid breathing but may not always be present in peritonitis.
Choice D reason:
The client's elevated temperature, rapid heart rate, and shallow breathing are indicative of a systemic inflammatory response, which is a characteristic feature of peritonitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
Choice A reason:
An electrocardiogram (ECG) is used to assess the electrical activity of the heart and is not specific to diagnosing peritonitis.
Choice B reason:
A complete blood count (CBC) may reveal elevated white blood cell count and inflammatory markers, but it alone cannot confirm the diagnosis of peritonitis.
Choice C reason:
A chest X-ray may be performed to rule out other conditions, but it is not the primary diagnostic test for peritonitis.
Choice D reason:
An abdominal computed tomography (CT) scan is a valuable diagnostic tool for identifying signs of inflammation and infection in the peritoneal cavity, aiding in the confirmation of peritonitis.
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