A client with peritonitis develops a high fever, chills, and profuse sweating. The nurse recognizes these signs as indicative of:
Hypoglycemia
Hyperthyroidism
Sepsis
Renal failure
The Correct Answer is C
Choice A reason:
Hypoglycemia refers to low blood sugar levels and is not directly related to the signs described in the scenario.
Choice B reason:
Hyperthyroidism involves an overactive thyroid gland and may cause symptoms such as weight loss and heat intolerance but is not associated with the signs described.
Choice C reason:
The client's high fever, chills, and profuse sweating are suggestive of sepsis, a severe systemic infection often resulting from peritonitis.
Choice D reason:
Renal failure involves impaired kidney function and may present with specific signs, but it is not directly related to the signs described in the scenario.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
An electrocardiogram (ECG) is used to assess the electrical activity of the heart and is not specific to diagnosing peritonitis.
Choice B reason:
A complete blood count (CBC) may reveal elevated white blood cell count and inflammatory markers, but it alone cannot confirm the diagnosis of peritonitis.
Choice C reason:
A chest X-ray may be performed to rule out other conditions, but it is not the primary diagnostic test for peritonitis.
Choice D reason:
An abdominal computed tomography (CT) scan is a valuable diagnostic tool for identifying signs of inflammation and infection in the peritoneal cavity, aiding in the confirmation of peritonitis.
Correct Answer is A
Explanation
Choice A reason:
Abdominal distension and decreased bowel sounds are classic signs of paralytic ileus, a common complication of peritonitis.
Choice B reason:
Gastroenteritis is inflammation of the gastrointestinal tract and may cause diarrhea and abdominal pain but is not related to the specific symptoms described.
Choice C reason:
Appendicitis is inflammation of the appendix and is not related to abdominal distension and decreased bowel sounds.
Choice D reason:
Constipation may cause abdominal distension, but decreased bowel sounds are not characteristic of constipation.
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