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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
A chest X-ray is not the primary diagnostic test for peritonitis.
Choice B reason:
An ECG is used to assess cardiac function and is not specific to peritonitis.
Choice C reason:
An abdominal ultrasound is commonly used to diagnose peritonitis and can help visualize inflammation or fluid in the peritoneal cavity.
Choice D reason:
A CBC may show elevated white blood cell count, which is an indication of infection, but it is not a confirmatory test for peritonitis.
Correct Answer is B
Explanation
Choice A reason:
Increased production of stomach acid is not directly related to peritonitis.
Choice B reason:
Cirrhosis is a condition where the liver is scarred and impaired in function. The liver plays a crucial role in immune function, and impaired liver function can lead to increased susceptibility to infections like peritonitis.
Choice C reason:
Gallbladder dysfunction is not directly related to peritonitis.
Choice D reason:
Chronic lung disease is not directly related to peritonitis.
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