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 D
Explanation
Choice A reason:
Continuous gastric suction is not primarily intended to prevent aspiration pneumonia, although it may indirectly help reduce the risk of aspiration in some cases.
Choice B reason:
Reducing intra-abdominal pressure is not the primary purpose of continuous gastric suction, although it may have some effect on the overall abdominal pressure.
Choice C reason:
Continuous gastric suction is not primarily intended to manage pain and discomfort in the client with peritonitis, although it may help alleviate some symptoms.
Choice D reason:
Promoting bowel rest is the main purpose of continuous gastric suction in the management of peritonitis. By reducing the workload of the gastrointestinal tract, the inflamed peritoneum can heal and recover more effectively.
Correct Answer is C
Explanation
Choice A reason:
Lying flat in bed may provide some comfort for the client and is not likely to exacerbate the abdominal pain associated with peritonitis.
Choice B reason:
Using a heating pad on the abdomen may provide some relief for the client and is not likely to exacerbate the abdominal pain associated with peritonitis.
Choice C reason:
Deep breathing and coughing exercises may worsen the client's abdominal pain due to the stretching and movement of the peritoneum during these activities.
Choice D reason:
Administering prescribed analgesics is essential for managing the client's pain and providing comfort during the treatment of peritonitis.
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