A client with peritonitis develops an elevated white blood cell count. The nurse recognizes this laboratory finding as indicative of:
Anemia
Infection
Hypoalbuminemia
Dehydration
The Correct Answer is B
Choice A reason:
Anemia refers to a low red blood cell count or hemoglobin level and is not directly related to an elevated white blood cell count.
Choice B reason:
An elevated white blood cell count is a common indicator of infection, such as in peritonitis, as the body's immune response is heightened to combat the inflammation and infection.
Choice C reason:
Hypoalbuminemia refers to low albumin levels in the blood and is not directly related to an elevated white blood cell count.
Choice D reason:
Dehydration may result in elevated blood cell counts due to hemoconcentration, but it is not the primary cause of an elevated white blood cell count in peritonitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Administering pain medication is important for the client's comfort, but it is not the highest priority in the management of peritonitis. Addressing the underlying infection with antibiotics takes precedence.
Choice B reason:
Monitoring vital signs is essential for assessing the client's condition, but initiating antibiotic therapy is more critical to address the underlying infection.
Choice C reason:
Initiating intravenous (IV) antibiotic therapy is the highest priority in the management of peritonitis. Prompt administration of antibiotics is essential to treat the bacterial infection and prevent its spread.
Choice D reason:
Encouraging deep breathing and coughing exercises is beneficial for preventing respiratory complications, but it is not the highest priority compared to addressing the infection with antibiotics.
Correct Answer is B
Explanation
Choice A reason:
Referred pain is pain that is felt in a different location from its source, and it is not directly associated with the sharp, sudden-onset pain described by the client.
Choice B reason:
Visceral pain arises from the internal organs and is often described as sharp and colicky. It worsens with movement and is a characteristic feature of peritonitis.
Choice C reason:
Neuropathic pain is caused by nerve damage and is not typically associated with peritonitis.
Choice D reason:
Radiating pain is pain that extends from its source to other areas, and it is not specifically described in the scenario.
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