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A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?

Increased urinary output

Bradycardia

Nausea and vomiting

Hyperactive bowel sounds

Answer and Explanation

The Correct Answer is C

Choice A reason: Increased urinary output is not typically associated with peritonitis, especially during peritoneal

dialysis.

Choice B reason: Bradycardia, or a slow heart rate, is not a common manifestation of peritonitis.

Choice C reason: Nausea and vomiting are common symptoms of peritonitis and should be monitored in clients

receiving peritoneal dialysis.

Choice D reason: Hyperactive bowel sounds are not specifically indicative of peritonitis; they can be associated with a variety of gastrointestinal conditions.

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Correct Answer is C

Explanation

Choice A reason: Dizziness can be a symptom of DKA due to dehydration; however, it is not as specific as mental status changes.

Choice B reason: Nervousness is not a specific symptom of DKA and can be related to high blood glucose levels rather than DKA itself.

Choice C reason: Mental status changes such as confusion or altered consciousness are significant indicators of DKA and require immediate medical atention.

Choice D reason: Cool, clammy skin is not typically associated with DKA; instead, DKA can present with dry skin and mouth due to dehydration.

A. pH 7.30, HCO3- 26 mEq/L, PaCO2 50 mm Hg B. pH 7.55, HCO3- 30 mEq/L, PaCO2 31 mm Hg C. pH 7.25, HCO3- 19 mEq/L, PaCO2 30 mm Hg D. pH 7.50, HCO3- 20 mEq/L, PaCO2 32 mm Hg

Correct Answer is C

Explanation

Choice A reason: pH 7.30 with elevated HCO3- and PaCO2 suggests compensated respiratory acidosis, not typical for chronic kidney disease.

Choice B reason: pH 7.55 with elevated HCO3- and low PaCO2 suggests metabolic alkalosis, which is not typical for chronic kidney disease.

Choice C reason: pH 7.25 with decreased HCO3- and PaCO2 suggests metabolic acidosis, which is expected in chronic kidney disease due to the accumulation of acids.

Choice D reason: pH 7.50 with low HCO3- and PaCO2 suggests compensated metabolic alkalosis, which is not typical for chronic kidney disease.

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A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?

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