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:
Bradycardia is not a common side effect of opioid use in clients with peritonitis.
Choice B reason:
Hypertension is not a common side effect of opioid use in clients with peritonitis.
Choice C reason:
Respiratory depression is a potential side effect of opioid use and is a significant concern in clients with peritonitis, as they may already have compromised respiratory function.
Choice D reason:
Diarrhea is not
a common side effect of opioid use in clients with peritonitis.
Correct Answer is B
Explanation
Choice A reason:
Changing the IV site every 24 hours is not necessary for IV antibiotic administration unless there is an indication of infiltration or infection at the site.
Choice B reason:
Administering the antibiotics using an infusion pump is essential to ensure accurate and controlled delivery of the medication, particularly when the client's condition requires a precise dosing schedule.
Choice C reason:
Discontinuing the antibiotics after 48 hours of improvement may lead to a recurrence of the infection. Clients with peritonitis often require a full course of antibiotic therapy to ensure complete eradication of the infection.
Choice D reason:
Administering the antibiotics through a peripheral IV catheter may not be suitable for the client's condition, as peritonitis may necessitate the use of a central line for administration of IV medications.
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