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:
Maintaining a low-fiber diet is not a standard recommendation for clients recovering from peritonitis.
Choice B reason:
Avoiding physical activity for two weeks is not necessary for all clients recovering from peritonitis, and individualized recommendations should be provided based on the client's condition and physician's instructions.
Choice C reason:
Taking prescribed antibiotics as directed is essential for clients recovering from peritonitis to complete the course of treatment and ensure the infection is fully eradicated.
Choice D reason:
Using a heating pad for abdominal pain relief may not be recommended for all clients recovering from peritonitis, as it may exacerbate inflammation or lead to complications. Individualized pain management strategies should be discussed with the healthcare provider.
Correct Answer is D
Explanation
Choice A reason:
Continuous gastric suction is not primarily intended to prevent aspiration pneumonia, although it may indirectly help reduce the risk of aspiration in some cases.
Choice B reason:
Reducing intra-abdominal pressure is not the primary purpose of continuous gastric suction, although it may have some effect on the overall abdominal pressure.
Choice C reason:
Continuous gastric suction is not primarily intended to manage pain and discomfort in the client with peritonitis, although it may help alleviate some symptoms.
Choice D reason:
Promoting bowel rest is the main purpose of continuous gastric suction in the management of peritonitis. By reducing the workload of the gastrointestinal tract, the inflamed peritoneum can heal and recover more effectively.
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