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 A

Explanation

Choice A reason:

Intravenous antibiotics are the standard treatment for spontaneous bacterial peritonitis (SBP) to treat the bacterial infection.

Choice B reason:

A high-protein diet is not the primary intervention for SBP.

Choice C reason:

Oral rehydration solutions are used for rehydration in cases of dehydration but are not the primary treatment for SBP.

Choice D reason:

Bowel rest may be indicated for other conditions but is not the primary intervention for SBP.

A. Administering oral antibiotics B. Performing sterile dressing changes C. Limiting visitors to the client's room D. Providing pain medication as needed

Correct Answer is B

Explanation

Choice A reason:

Administering oral antibiotics may be necessary for treating the wound infection, but it does not directly prevent the spread of infection.

Choice B reason:

Performing sterile dressing changes is essential in preventing the spread of infection and promoting wound healing.

Choice C reason:

Limiting visitors to the client's room may help reduce the risk of introducing new pathogens, but it is not the primary intervention for preventing wound infection.

Choice D reason:

Providing pain medication as needed is important for the client's comfort but does not directly prevent the spread of infection.

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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 client is diagnosed with spontaneous bacterial peritonitis (SBP). The nurse anticipates the need for which medical intervention?

Correct Answer is A

Explanation

A client with peritonitis develops a wound infection at the surgical site. Which nursing intervention is essential in preventing the spread of infection?

Correct Answer is B

Explanation

A client with peritonitis is at risk of developing hypovolemic shock. Which assessment finding should the nurse be most concerned about?

A client with peritonitis is prescribed intravenous (IV) fluid resuscitation. The nurse understands that the primary goal of fluid resuscitation is to:

A client with peritonitis is experiencing acute respiratory distress. Which intervention is the nurse's priority in managing this complication?

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

A client with peritonitis is prescribed a nasogastric (NG) tube for decompression. The nurse understands that the primary purpose of the NG tube is to:

A nurse is caring for a client with peritonitis and observes a rigid, board-like abdomen upon palpation. The nurse recognizes this finding as:

A nurse is caring for a client diagnosed with peritonitis. Which intervention is the highest priority in the management of this condition?

A client with peritonitis experiences abdominal distension and decreased bowel sounds on auscultation. The nurse recognizes these findings as suggestive of: