A client with peritonitis is experiencing acute respiratory distress. Which intervention is the nurse's priority in managing this complication?
Administering oxygen as prescribed
Elevating the head of the bed
Monitoring blood pressure regularly
Administering bronchodilator medication
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Anemia refers to a low red blood cell count or hemoglobin level and is not directly related to an elevated white blood cell count.
Choice B reason:
An elevated white blood cell count is a common indicator of infection, such as in peritonitis, as the body's immune response is heightened to combat the inflammation and infection.
Choice C reason:
Hypoalbuminemia refers to low albumin levels in the blood and is not directly related to an elevated white blood cell count.
Choice D reason:
Dehydration may result in elevated blood cell counts due to hemoconcentration, but it is not the primary cause of an elevated white blood cell count in peritonitis.
Correct Answer is B
Explanation
Choice A reason:
Assessing for peripheral edema is important for clients with various conditions, but it is not directly related to the potential complications of peritonitis.
Choice B reason:
Monitoring blood glucose levels regularly is essential in clients with peritonitis, as hyperglycemia can be a complication of the inflammatory response and stress associated with the condition.
Choice C reason:
Encouraging fluid intake is essential for clients with peritonitis, but the specific recommendation of 3 liters per day is not universally applicable and may vary based on individual client needs and medical status.
Choice D reason:
Implementing fall precautions is important for clients at risk of falls, but it is not directly related to potential complications of peritonitis.
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