A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?

Generalized abdominal pain

Increased heart rate

Cloudy effluent

Fever

Answer and Explanation

The Correct Answer is C

C. Cloudy effluent is one of the earliest and most specific signs of peritonitis. It warrants immediate evaluation and diagnostic testing to confirm the diagnosis and initiate appropriate treatment.

A Generalized abdominal pain is a common symptom of peritonitis but may not be the earliest indication.

B. Tachycardia (increased heart rate) can occur in response to infection or inflammation, including peritonitis. It is a systemic response rather than a localized symptom.

D. Fever can also be associated with peritonitis but may appear later and is not as specific early indicators

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Correct Answer is C

Explanation

C. Atropine is an anticholinergic medication that increases heart rate by blocking vagal tone to the heart. It is used to treat symptomatic bradycardia, including sinus bradycardia that causes hemodynamic instability

A Lidocaine is primarily used for the treatment of ventricular arrhythmias, particularly in the setting of acute myocardial infarction or during cardiac arrest. Sinus bradycardia with S-T segment elevation suggests ischemia or injury to the heart muscle (myocardium) rather than ventricular arrhythmias.

B. Digoxin is a medication used to increase myocardial contractility and reduce heart rate in certain heart conditions such as atrial fibrillation or heart failure. It is not typically indicated for acute management of sinus bradycardia

D. Sotalol is a beta-blocker with class III antiarrhythmic properties. It is used primarily for the management of atrial and ventricular arrhythmias, not for acute coronary syndrome or sinus bradycardia with myocardial ischemia.

A. "I understand that the dietary choices can seem overwhelming." B. "I can assist you with making a list of foods you like for the dietitian." C. "The dietitian will provide you with the best food choices to manage your diabetes." D. "Managing your diabetes will require you to make accommodations."

Correct Answer is B

Explanation

B. This statement encourages the client to actively participate in their dietary planning by involving them in the process of selecting foods they enjoy. It empowers the client to collaborate with the dietitian in creating a meal plan that suits their preferences

A While empathetic, it does not actively encourage the client's involvement in their care plan or decision-making process.

C. While this statement reassures the client about the expertise of the dietitian, it does not actively encourage the client's active participation or involvement in decision-making regarding their dietary choices.

D. This statement acknowledges the need for adjustments but does not specifically encourage the client's active involvement in planning their dietary choices.

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A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in the ICU. The client's ECG monitor tracing reveals sinus bradycardia and S-T segment elevation. The client reports shortness of breath and feeling dizzy and faint. Which of the following medications should the nurse administer?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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