A client with peritonitis is at risk of developing septic shock. Which clinical manifestation should the nurse closely monitor to detect early signs of septic shock?
Increased blood pressure
Bradycardia
Warm, flushed skin
Rapid, shallow breathing
The Correct Answer is D
Choice A reason:
Increased blood pressure is not characteristic of septic shock. Septic shock is associated with low blood pressure.
Choice B reason:
Bradycardia is not a typical sign of septic shock. Tachycardia is more common in septic shock.
Choice C reason:
Warm, flushed skin is not typical in septic shock. Septic shock is associated with cold, clammy skin.
Choice D reason:
Rapid, shallow breathing is a common early sign of septic shock and indicates the body's attempt to compensate for the decreased cardiac output.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Administering oxygen as prescribed is the priority intervention in managing acute respiratory distress to improve oxygenation and support respiratory function.
Choice B reason:
Elevating the head of the bed is helpful for promoting lung expansion, but it is not the priority intervention in managing acute respiratory distress.
Choice C reason:
Monitoring blood pressure regularly is essential in assessing the client's overall condition, but it does not directly address the respiratory distress.
Choice D reason:
Administering bronchodilator medication is not the priority intervention in managing acute respiratory distress unless there is a specific indication for its use.
Correct Answer is D
Explanation
Choice A reason:
Having a history of allergies is not a risk factor for peritonitis.
Choice B reason:
Having a history of diabetes is not a risk factor for peritonitis.
Choice C reason:
Having a history of hypertension is not a risk factor for peritonitis.
Choice D reason:
A history of inflammatory bowel disease is a significant risk factor for peritonitis, especially if there are complications such as bowel perforation.
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