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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
An electrocardiogram (ECG) is used to assess the electrical activity of the heart, not the abdomen.
Choice B reason:
An abdominal X-ray provides a basic overview of the abdomen but may not offer detailed images of the peritoneal organs and structures.
Choice C reason:
Magnetic resonance imaging (MRI) can provide high-resolution images of the abdominal organs and structures, including the peritoneum, making it a valuable diagnostic tool for suspected peritonitis.
Choice D reason:
Ultrasonography can provide images of the abdominal organs, but it may not offer the level of detail provided by MRI in assessing peritonitis.
Correct Answer is B
Explanation
Choice A reason:
Preventing aspiration pneumonia is one of the benefits of an NG tube, but the primary purpose in peritonitis is to relieve abdominal distension caused by fluid and gas accumulation.
Choice B reason:
Relieving abdominal distension is the primary purpose of an NG tube in clients with peritonitis, as it helps remove fluid and gas from the stomach and intestines, reducing pressure on the peritoneum.
Choice C reason:
Monitoring gastric pH levels may be done with an NG tube in certain situations, but it is not the primary purpose in the context of peritonitis.
Choice D reason:
Administering enteral nutrition may be a secondary purpose of an NG tube in some cases, but it is not the primary goal in clients with peritonitis.
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