A client with peritonitis develops acute kidney injury (AKI). Which nursing intervention is essential in the management of this complication?

Monitoring blood glucose levels

Administering pain medication as prescribed

Encouraging fluid intake to 3 liters per day

Maintaining fluid and electrolyte balance

Answer and Explanation

The Correct Answer is D

Choice A reason:

Monitoring blood glucose levels is important for clients with various conditions, but it is not directly related to the management of acute kidney injury (AKI) in peritonitis.

Choice B reason:

Administering pain medication is essential for managing the client's pain and providing comfort during treatment, but it is not directly related to the management of acute kidney injury.

Choice C reason:

Encouraging fluid intake is important 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:

Maintaining fluid and electrolyte balance is crucial in managing acute kidney injury in peritonitis. The nurse should closely monitor the client's fluid intake, output, and electrolyte levels and collaborate with the healthcare team to adjust the fluid therapy as needed.

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Correct Answer is C

Explanation

Choice A reason:

A chest X-ray is not the primary diagnostic test for peritonitis.

Choice B reason:

An ECG is used to assess cardiac function and is not specific to peritonitis.

Choice C reason:

An abdominal ultrasound is commonly used to diagnose peritonitis and can help visualize inflammation or fluid in the peritoneal cavity.

Choice D reason:

A CBC may show elevated white blood cell count, which is an indication of infection, but it is not a confirmatory test for peritonitis.

A. Assessing for peripheral edema daily B. Monitoring blood glucose levels regularly C. Encouraging fluid intake to 3 liters per day D. Implementing fall precautions during ambulation

Correct Answer is B

Explanation

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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A client with peritonitis develops acute kidney injury (AKI). Which nursing intervention is essential in the management of this complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of appendectomy develops peritonitis. The nurse anticipates which diagnostic test to confirm the diagnosis?

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

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