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

Bradycardia

Hypotension

bowel sounds

Increased urine output

Answer and Explanation

The Correct Answer is B

Choice A reason:

Bradycardia is not a concerning finding in this context and may indicate a vagal response or be a side effect of certain medications.

Choice B reason:

Hypotension is a concerning finding and may indicate hypovolemic shock, a potentially life-threatening complication of peritonitis.

Choice C reason:

Hyperactive bowel sounds are not a concerning finding in this context and may be a sign of gastrointestinal motility.

Choice D reason:

Increased urine output may be a positive finding but does not directly relate to the development of hypovolemic shock.

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Correct Answer is C

Explanation

Choice A reason:

Anxiety may lead to restlessness, but the assumption of a fetal position suggests a pain response, which is a common finding in peritonitis.

Choice B reason:

Fatigue may lead to restlessness, but it does not explain the assumption of a fetal position, which is a pain-coping mechanism.

Choice C reason:

The client assuming a fetal position and exhibiting restlessness are indicative of pain, which is a common symptom in peritonitis.

Choice D reason:

Respiratory distress is not directly related to the findings described in the scenario.

A. Slower metabolism B. Decreased immune function C. Increased bone density D. Reduced gastrointestinal motility

Correct Answer is B

Explanation

Choice A reason:

Slower metabolism is a normal age-related change but is not directly related to an increased susceptibility to peritonitis in older adults.

Choice B reason:

Older adults may have decreased immune function, which can increase their susceptibility to infections, including peritonitis.

Choice C reason:

Increased bone density is not directly related to an increased susceptibility to peritonitis in older adults.

Choice D reason:

Reduced gastrointestinal motility is a normal age-related change but is not directly related to an increased susceptibility to peritonitis in older adults.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse caring for a client with peritonitis observes the client assuming a fetal position and exhibiting restlessness. The nurse interprets these behaviors as indicative of:

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

A nurse is caring for a client with peritonitis who is at risk of developing abdominal compartment syndrome. Which assessment finding should the nurse be most concerned about?

A nurse is caring for a client with peritonitis and anticipates the need for a paracentesis. What is the purpose of a paracentesis in this client?

A nurse is providing education to a group of clients about peritonitis and its risk factors. Which client is at the highest risk for developing peritonitis?

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 severe abdominal pain. The nurse recognizes that this pain may be exacerbated by which factor?

A client with peritonitis is undergoing diagnostic imaging. The nurse explains to the client that the purpose of this imaging is to:

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

A client with peritonitis presents with an elevated temperature, rapid heart rate, and shallow breathing. The nurse recognizes these signs as indicative of: