A nurse is providing care to a client who has peritonitis. Which of the following conditions is the highest priority for the nurse to monitor?

Respiratory failure

Sepsis

Heart attack

Diabetes

Answer and Explanation

The Correct Answer is B

A. Respiratory failure may occur in severe illness, but it is not the most direct or immediate threat in peritonitis.
B. Sepsis is the most critical complication of peritonitis, as the infection can rapidly enter the bloodstream, leading to systemic inflammatory response and organ failure.
C. Heart attack is not a typical or direct complication of peritonitis.
D. Diabetes is a chronic condition and a risk factor but is not an acute complication of peritonitis itself.

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Correct Answer is C

Explanation

A. Blood urea nitrogen (BUN) can be influenced by factors other than kidney function, such as dehydration or protein intake, making it less specific.
B. Serum sodium reflects electrolyte balance but is not a direct indicator of kidney function.
C. Serum creatinine is the most reliable indicator of renal function because it reflects the glomerular filtration rate (GFR) and is less affected by other variables.
D. Urine-specific gravity indicates urine concentration but does not directly measure renal function.

A. Who has a sodium level of 135 mEq/L and a potassium level of 3.7 mEq/L7 days after a kidney transplant. B. Who, following a kidney transplant, has returned from hemodialysis with a sodium level of 110 mEq/L and a potassium level of 2.0 mEq/L. C. who is experiencing mild pain from urolithiasis. D. With pinkish mucus discharge in the appliance bag 2 days after an ileal conduit.

Correct Answer is B

Explanation

A. Sodium 135 mEq/L and potassium 3.7 mEq/L are within normal limits, so this client is stable.
B. Sodium 110 mEq/L (hyponatremia) and potassium 2.0 mEq/L (hypokalemia) are critically abnormal values and can lead to serious complications such as seizures, cardiac arrhythmias, and muscle weakness. This client requires immediate assessment and intervention.
C. Mild pain from urolithiasis is concerning but not as urgent as electrolyte imbalances.
D. Pinkish mucus discharge in an ileal conduit is expected and generally not urgent unless accompanied by other signs of infection.

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A nurse is providing care to a client who has peritonitis. Which of the following conditions is the highest priority for the nurse to monitor?

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