A client with peritonitis develops hypotension and tachycardia. The nurse recognizes these signs as possible indications of which complication?

Abdominal compartment syndrome

Respiratory distress syndrome

Sepsis

Gastrointestinal bleeding

Answer and Explanation

The Correct Answer is C

Choice A reason:

Abdominal compartment syndrome may present with abdominal distension and firmness but is not directly associated with hypotension and tachycardia.

Choice B reason:

Respiratory distress syndrome may manifest with respiratory symptoms such as dyspnea and decreased oxygen saturation but is not directly associated with hypotension and tachycardia.

Choice C reason:

Sepsis is a systemic inflammatory response to infection and can cause hypotension and tachycardia as part of its clinical presentation.

Choice D reason:

Gastrointestinal bleeding may present with symptoms such as melena or hematemesis but is not directly associated with hypotension and tachycardia.

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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 managing sepsis, a life-threatening complication 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 broad-spectrum antibiotic therapy is more critical in managing sepsis.

Choice C reason:

Initiating broad-spectrum antibiotic therapy is the highest priority in managing sepsis. Prompt administration of antibiotics is crucial to treat the bacterial infection and prevent its spread.

Choice D reason:

Providing deep breathing exercises is important for preventing respiratory complications, but it is not the highest priority compared to addressing sepsis with antibiotics.

A. Increased blood pressure B. Bradycardia C. Warm, flushed skin D. Rapid, shallow breathing

Correct Answer is D

Explanation

Choice A reason:

Increased blood pressure is not characteristic of septic shock. Septic shock is associated with low blood pressure.

Choice B reason:

Bradycardia is not a typical sign of septic shock. Tachycardia is more common in septic shock.

Choice C reason:

Warm, flushed skin is not typical in septic shock. Septic shock is associated with cold, clammy skin.

Choice D reason:

Rapid, shallow breathing is a common early sign of septic shock and indicates the body's attempt to compensate for the decreased cardiac output.

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A client with peritonitis develops hypotension and tachycardia. The nurse recognizes these signs as possible indications of which complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with peritonitis who developed sepsis. Which nursing intervention is the highest priority in managing this complication?

Correct Answer is C

Explanation

A client with peritonitis is at risk of developing septic shock. Which clinical manifestation should the nurse closely monitor to detect early signs of septic shock?

Correct Answer is D

Explanation

A client with peritonitis is prescribed intravenous (IV) opioids for pain management. The nurse closely monitors the client for which potential side effect?

A nurse is providing education to a group of older adult clients about the risk factors for peritonitis. Which factor is most likely to increase the susceptibility to peritonitis in older adults?

A client with suspected peritonitis is scheduled for diagnostic paracentesis. The nurse explains to the client that this procedure involves:

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?

A client underwent abdominal surgery and is now at risk of developing peritonitis. The nurse teaches the client about the early signs and symptoms of peritonitis. What should the nurse include in the teaching?

A client with peritonitis develops an elevated white blood cell count. The nurse recognizes this laboratory finding as indicative of:

A client is recovering from peritonitis and is being discharged from the hospital. The nurse provides discharge instructions and emphasizes the importance of:

A nurse is assessing a client with suspected peritonitis. Which clinical finding is a hallmark sign of this condition?