A nurse caring for a client with peritonitis observes the client assuming a fetal position and exhibiting restlessness. The nurse interprets these behaviors as indicative of:
Anxiety
Fatigue
Pain
Respiratory distress
The Correct Answer is C
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
Choice A reason:
Increased blood pressure is not characteristic of septic shock. Septic shock is associated with low blood pressure.
Choice B reason:
Bradycardia is not a typical sign of septic shock. Tachycardia is more common in septic shock.
Choice C reason:
Warm, flushed skin is not typical in septic shock. Septic shock is associated with cold, clammy skin.
Choice D reason:
Rapid, shallow breathing is a common early sign of septic shock and indicates the body's attempt to compensate for the decreased cardiac output.
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