A nurse is caring for a client diagnosed with peritonitis. Which intervention is the highest priority in the management of this condition?
Administering pain medication as prescribed
Monitoring vital signs every 4 hours
Initiating intravenous (IV) antibiotic therapy
Encouraging deep breathing and coughing exercises
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Peritoneal dialysis involves inserting a catheter into the peritoneal cavity, which can increase the risk of infection at the insertion site and lead to peritonitis.
Choice B reason:
High blood pressure is not directly related to an increased risk of peritonitis in clients undergoing peritoneal dialysis.
Choice C reason:
Elevated cholesterol levels are not directly related to an increased risk of peritonitis in clients undergoing peritoneal dialysis.
Choice D reason:
An allergic reaction to the dialysis solution is a possibility but is not the primary reason for an increased risk of peritonitis in clients undergoing peritoneal dialysis.
Correct Answer is B
Explanation
Choice A reason:
Administering oral antibiotics may be necessary for treating the wound infection, but it does not directly prevent the spread of infection.
Choice B reason:
Performing sterile dressing changes is essential in preventing the spread of infection and promoting wound healing.
Choice C reason:
Limiting visitors to the client's room may help reduce the risk of introducing new pathogens, but it is not the primary intervention for preventing wound infection.
Choice D reason:
Providing pain medication as needed is important for the client's comfort but does not directly prevent the spread of infection.
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