A client with peritonitis is prescribed intravenous (IV) fluid resuscitation. The nurse understands that the primary goal of fluid resuscitation is to:
Correct electrolyte imbalances
Prevent circulatory collapse
Maintain adequate urine output
Restore fluid balance
The Correct Answer is B
Choice A reason:
Correcting electrolyte imbalances is important in fluid resuscitation, but the primary goal is to prevent circulatory collapse and restore hemodynamic stability.
Choice B reason:
The primary goal of fluid resuscitation in peritonitis is to prevent circulatory collapse and maintain adequate blood pressure and perfusion to vital organs.
Choice C reason:
Maintaining adequate urine output is one of the indicators of effective fluid resuscitation, but it is not the primary goal in this context.
Choice D reason:
Restoring fluid balance is a goal of fluid resuscitation, but the primary focus is on preventing circulatory collapse and ensuring adequate tissue perfusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Anxiety may lead to restlessness, but the assumption of a fetal position suggests a pain response, which is a common finding in peritonitis.
Choice B reason:
Fatigue may lead to restlessness, but it does not explain the assumption of a fetal position, which is a pain-coping mechanism.
Choice C reason:
The client assuming a fetal position and exhibiting restlessness are indicative of pain, which is a common symptom in peritonitis.
Choice D reason:
Respiratory distress is not directly related to the findings described in the scenario.
Correct Answer is B
Explanation
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.
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