A nurse is preparing a care plan for a client with peritonitis. Which nursing intervention is essential to include in the plan to address potential complications of this condition?
Assessing for peripheral edema daily
Monitoring blood glucose levels regularly
Encouraging fluid intake to 3 liters per day
Implementing fall precautions during ambulation
The Correct Answer is B
Choice A reason:
Assessing for peripheral edema is important for clients with various conditions, but it is not directly related to the potential complications of peritonitis.
Choice B reason:
Monitoring blood glucose levels regularly is essential in clients with peritonitis, as hyperglycemia can be a complication of the inflammatory response and stress associated with the condition.
Choice C reason:
Encouraging fluid intake is essential for clients with peritonitis, but the specific recommendation of 3 liters per day is not universally applicable and may vary based on individual client needs and medical status.
Choice D reason:
Implementing fall precautions is important for clients at risk of falls, but it is not directly related to potential complications of peritonitis.
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Related Questions
Correct Answer is C
Explanation
Choice A reason:
Maintaining a low-fiber diet is not a standard recommendation for clients recovering from peritonitis.
Choice B reason:
Avoiding physical activity for two weeks is not necessary for all clients recovering from peritonitis, and individualized recommendations should be provided based on the client's condition and physician's instructions.
Choice C reason:
Taking prescribed antibiotics as directed is essential for clients recovering from peritonitis to complete the course of treatment and ensure the infection is fully eradicated.
Choice D reason:
Using a heating pad for abdominal pain relief may not be recommended for all clients recovering from peritonitis, as it may exacerbate inflammation or lead to complications. Individualized pain management strategies should be discussed with the healthcare provider.
Correct Answer is B
Explanation
Choice A reason:
Paracentesis is not used to remove excess air from the peritoneal cavity.
Choice B reason:
Paracentesis is a procedure used to drain infected fluid or pus from the peritoneal cavity in cases of peritonitis.
Choice C reason:
Visualizing the abdominal organs using a scope is not the purpose of a paracentesis.
Choice D reason:
Monitoring intra-abdominal pressure is not the purpose of a paracentesis.
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