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

A changed mental status is a common sign of a urinary tract infection, especially in older adults, due to the effects of the infection on the central nervous system.

Choice B rationale

WBC count 9,000/mm³ is within the normal range of 5,000 to 10,000/mm³ and does not indicate an infection on its own.

Choice C rationale

Diminished reflexes are not typically associated with bladder infections and are not a reliable indicator.

Choice D rationale

A temperature of 37.3°C (99.1°F) is within the normal range and does not necessarily indicate a bladder infection.

A. Monitor the client's temperature every 6 hours. B. Dim the lighting in the client's room. C. Initiate contact precautions for the client. D. Measure the client's intake and output every 8 hours.

Correct Answer is B

Explanation

Choice B rationale

Dimming the lighting in the client's room helps reduce photophobia and headaches, which are common symptoms in viral meningitis.

Choice A rationale

Monitoring temperature every 6 hours is not as frequent as needed. Frequent monitoring is crucial due to the risk of rapid changes in condition.

Choice C rationale

Contact precautions are not necessary for viral meningitis, as it is not as contagious as bacterial meningitis. Standard precautions are generally sufficient.

Choice D rationale

Measuring intake and output every 8 hours is standard, but it is not specific to the needs of a viral meningitis patient like controlling environmental stimuli.

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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 collecting data from an older adult client.Which of the following findings should the nurse identify as indicating the client has a bladder infection?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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