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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C,B,D,A
Explanation
The correct order is:
1. Ensure a method to communicate during the procedure.
2. Wear clean gloves to remove the tracheostomy dressing.
3. Clean the inner cannula using a small brush.
4. Apply clean tracheostomy ties.
Correct Answer is ["1000"]
Explanation
Step 1: Calculate the total caloric reduction needed per week to lose 0.9 kg (2 lb). 2 lb × 3,500 calories/lb = 7,000 calories.
Step 2: Divide the total weekly caloric reduction by the number of days in a week. 7,000 calories ÷ 7 days = 1,000 calories/day.
Final answer: 1,000.
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