A nurse is caring for a client with peritonitis who is at risk of developing abdominal compartment syndrome. Which assessment finding should the nurse be most concerned about?
Increased urine output
Abdominal distension and firmness
Normal respiratory rate
Mild incisional pain
The Correct Answer is B
Choice A reason:
Increased urine output is not a concerning finding in this context and may indicate adequate fluid resuscitation.
Choice B reason:
Abdominal distension and firmness are concerning findings and may indicate the development of abdominal compartment syndrome, a serious complication of peritonitis.
Choice C reason:
Normal respiratory rate is a positive finding, but it does not directly relate to the development of abdominal compartment syndrome.
Choice D reason:
Mild incisional pain is expected after surgery, but it does not indicate the development of abdominal compartment syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Slower metabolism is a normal age-related change but is not directly related to an increased susceptibility to peritonitis in older adults.
Choice B reason:
Older adults may have decreased immune function, which can increase their susceptibility to infections, including peritonitis.
Choice C reason:
Increased bone density is not directly related to an increased susceptibility to peritonitis in older adults.
Choice D reason:
Reduced gastrointestinal motility is a normal age-related change but is not directly related to an increased susceptibility to peritonitis in older adults.
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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