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:
Chest pain is not a typical symptom of peritonitis, as the condition primarily affects the abdomen.
Choice B reason:
A severe headache is not a characteristic symptom of peritonitis.
Choice C reason:
Abdominal pain and tenderness are hallmark symptoms of peritonitis, resulting from inflammation of the peritoneum lining the abdominal cavity.
Choice D reason:
Shortness of breath is not a common symptom of peritonitis unless there is an associated respiratory complication.
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 the management 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 antibiotic therapy is more critical to address the underlying infection.
Choice C reason:
Initiating intravenous (IV) antibiotic therapy is the highest priority in the management of peritonitis. Prompt administration of antibiotics is essential to treat the bacterial infection and prevent its spread.
Choice D reason:
Encouraging deep breathing and coughing exercises is beneficial for preventing respiratory complications, but it is not the highest priority compared to addressing the infection with antibiotics.
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