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:
Hypertension is not a common side effect of IV antibiotic therapy.
Choice B reason:
Hypoglycemia is not a common side effect of IV antibiotic therapy.
Choice C reason:
An allergic reaction is a potential side effect of antibiotic therapy and can range from mild skin rash to life-threatening anaphylaxis.
Choice D reason:
Bradycardia is not a common side effect of IV antibiotic therapy.
Correct Answer is D
Explanation
Choice A reason:
Fever and diarrhea are not specific early signs of peritonitis.
Choice B reason:
Abdominal distension and flatulence may occur for various reasons after abdominal surgery, but they are not specific to peritonitis.
Choice C reason:
Nausea and vomiting can be caused by various post-operative factors and are not specific to peritonitis.
Choice D reason:
Sudden-onset severe abdominal pain and tenderness are classic early signs of peritonitis and indicate the need for immediate medical attention.
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