A nurse is caring for a client with peritonitis who developed sepsis. Which nursing intervention is the highest priority in managing this complication?

Administering pain medication as prescribed

Monitoring vital signs every 4 hours

Initiating broad-spectrum antibiotic therapy

Providing deep breathing exercises

Answer and Explanation

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 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.

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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.

A. Lying flat in bed B. Using a heating pad on the abdomen C. Deep breathing and coughing D. Administering prescribed analgesics

Correct Answer is C

Explanation

Choice A reason:

Lying flat in bed may provide some comfort for the client and is not likely to exacerbate the abdominal pain associated with peritonitis.

Choice B reason:

Using a heating pad on the abdomen may provide some relief for the client and is not likely to exacerbate the abdominal pain associated with peritonitis.

Choice C reason:

Deep breathing and coughing exercises may worsen the client's abdominal pain due to the stretching and movement of the peritoneum during these activities.

Choice D reason:

Administering prescribed analgesics is essential for managing the client's pain and providing comfort during the treatment of peritonitis.

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A nurse is caring for a client with peritonitis who developed sepsis. Which nursing intervention is the highest priority in managing this complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with cirrhosis is admitted to the hospital with suspected peritonitis. The nurse understands that cirrhosis is a significant risk factor for peritonitis due to:

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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