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 C
Explanation
Choice A reason:
Recent travel to a tropical region is not a risk factor for peritonitis.
Choice B reason:
A history of asthma is not a risk factor for peritonitis.
Choice C reason:
Prior abdominal surgery is a significant risk factor for peritonitis because it can lead to perforation of the gastrointestinal tract and the spread of bacteria into the peritoneal cavity.
Choice D reason:
A vegetarian diet is not a risk factor for peritonitis.
Correct Answer is B
Explanation
Choice A reason:
Hypothyroidism is not a risk factor for peritonitis.
Choice B reason:
Chronic kidney disease can weaken the immune system and make the client more susceptible to infections such as peritonitis.
Choice C reason:
Migraine headaches are not a risk factor for peritonitis.
Choice D reason:
GERD is not a risk factor for peritonitis.
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