A client with peritonitis presents with an elevated temperature, rapid heart rate, and shallow breathing. The nurse recognizes these signs as indicative of:

Hypothermia

Hypertension

Hyperventilation

Systemic inflammatory response

Answer and Explanation

The Correct Answer is D

Choice A reason:

Hypothermia refers to abnormally low body temperature and is not associated with the clinical presentation of peritonitis.

Choice B reason:

Hypertension refers to high blood pressure and is not directly associated with the signs of peritonitis.

Choice C reason:

Hyperventilation involves rapid breathing but may not always be present in peritonitis.

Choice D reason:

The client's elevated temperature, rapid heart rate, and shallow breathing are indicative of a systemic inflammatory response, which is a characteristic feature of peritonitis.

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Correct Answer is C

Explanation

Choice A reason:

Administering pain medication is important for the client's comfort, but it is not the highest priority in the management of peritonitis. Addressing the underlying infection with antibiotics takes precedence.

Choice B reason:

Monitoring vital signs is essential for assessing the client's condition, but initiating antibiotic therapy is more critical to address the underlying infection.

Choice C reason:

Initiating intravenous (IV) antibiotic therapy is the highest priority in the management of peritonitis. Prompt administration of antibiotics is essential to treat the bacterial infection and prevent its spread.

Choice D reason:

Encouraging deep breathing and coughing exercises is beneficial for preventing respiratory complications, but it is not the highest priority compared to addressing the infection with antibiotics.

A. Paralytic ileus B. Gastroenteritis C. Appendicitis D. Constipation

Correct Answer is A

Explanation

Choice A reason:

Abdominal distension and decreased bowel sounds are classic signs of paralytic ileus, a common complication of peritonitis.

Choice B reason:

Gastroenteritis is inflammation of the gastrointestinal tract and may cause diarrhea and abdominal pain but is not related to the specific symptoms described.

Choice C reason:

Appendicitis is inflammation of the appendix and is not related to abdominal distension and decreased bowel sounds.

Choice D reason:

Constipation may cause abdominal distension, but decreased bowel sounds are not characteristic of constipation.

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A client with peritonitis presents with an elevated temperature, rapid heart rate, and shallow breathing. The nurse recognizes these signs as indicative of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client diagnosed with peritonitis. Which intervention is the highest priority in the management of this condition?

Correct Answer is C

Explanation

A client with peritonitis is experiencing abdominal distension and decreased bowel sounds. The nurse suspects the presence of:

Correct Answer is A

Explanation

A nurse is preparing a care plan for a client with peritonitis. Which nursing intervention is essential to include in the plan to address potential complications of this condition?

A client is recovering from peritonitis and is being discharged from the hospital. The nurse provides discharge instructions and emphasizes the importance of:

A nurse is assessing a client with suspected peritonitis. Which symptom should the nurse expect the client to report?

A client with peritonitis develops an elevated white blood cell count. The nurse recognizes this laboratory finding as indicative of:

A client with peritonitis is experiencing severe abdominal pain. The nurse recognizes that this pain may be exacerbated by which factor?

A client underwent abdominal surgery and is now at risk of developing peritonitis. The nurse teaches the client about the early signs and symptoms of peritonitis. What should the nurse include in the teaching?

A client with peritonitis develops acute kidney injury (AKI). Which nursing intervention is essential in the management of this complication?

A nurse is reviewing the laboratory results of a client suspected of having peritonitis. Which finding is most indicative of this condition?