A nurse is collecting data from a client who has peritonitis.Which of the following findings should the nurse expect?

Decreased respirations.

Absent bowel sounds.

Peripheral edema.

Polyuria.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Peritonitis usually leads to increased respiratory rate rather than decreased respirations due to abdominal pain and possible sepsis. Rapid breathing is a common symptom as the body tries to compensate for the infection and discomfort.

Choice B rationale

Absent bowel sounds are a hallmark sign of peritonitis, indicating a lack of intestinal activity due to severe inflammation of the peritoneum. This condition can lead to ileus, where the intestines stop functioning properly.

Choice C rationale

Peripheral edema is not typically associated with peritonitis. Peritonitis primarily affects the abdomen and does not commonly cause fluid accumulation in the extremities. Edema is more related to conditions affecting the heart, liver, or kidneys.

Choice D rationale

Polyuria, or excessive urination, is not a symptom of peritonitis. Peritonitis primarily affects the abdominal cavity and symptoms include severe abdominal pain, fever, and a rigid abdomen. Polyuria is often associated with conditions like diabetes.

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Correct Answer is A

Explanation

Choice A rationale

Increased respiratory rate is a compensatory mechanism in metabolic acidosis to expel excess carbon dioxide and decrease blood acidity.

Choice B rationale

Positive Trousseau's sign indicates hypocalcemia, not metabolic acidosis. It is seen in patients with low calcium levels.

Choice C rationale

Tingling of the fingers is usually associated with electrolyte imbalances such as hypocalcemia, rather than metabolic acidosis.

Choice D rationale

Dizziness upon standing is typically a sign of orthostatic hypotension, not directly related to metabolic acidosis.

A. "I will perform breast exams the day my period begins.”. B. "I will perform breast exams every other month.”. C. "It is common for the skin on my breasts to dimple.”. D. "It is common for one breast to be larger than the other.”.

Correct Answer is D

Explanation

Choice A rationale

Performing breast exams on the first day of the menstrual cycle is not recommended because hormonal fluctuations can affect breast tissue.

Choice B rationale

Breast self-examinations should be performed monthly, not every other month, to detect any changes in breast tissue.

Choice C rationale

Skin dimpling on the breast can be a sign of breast cancer and should not be considered common. It requires medical evaluation.

Choice D rationale

It is normal for one breast to be slightly larger than the other, and this variation is common among women.

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A nurse is collecting data from a client who has peritonitis.Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who has diabetes mellitus and a glucose level of 384 mg/dL (74 to 106 mg/dL). Which of the following findings should the nurse identify as an indication of metabolic acidosis?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client about breast self-examinations.Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

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