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.
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Related Questions
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.
Correct Answer is C
Explanation
Choice A reason:
An electrocardiogram (ECG) is used to assess the electrical activity of the heart, not the abdomen.
Choice B reason:
An abdominal X-ray provides a basic overview of the abdomen but may not offer detailed images of the peritoneal organs and structures.
Choice C reason:
Magnetic resonance imaging (MRI) can provide high-resolution images of the abdominal organs and structures, including the peritoneum, making it a valuable diagnostic tool for suspected peritonitis.
Choice D reason:
Ultrasonography can provide images of the abdominal organs, but it may not offer the level of detail provided by MRI in assessing peritonitis.
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