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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Anemia refers to a low red blood cell count or hemoglobin level and is not directly related to an elevated white blood cell count.
Choice B reason:
An elevated white blood cell count is a common indicator of infection, such as in peritonitis, as the body's immune response is heightened to combat the inflammation and infection.
Choice C reason:
Hypoalbuminemia refers to low albumin levels in the blood and is not directly related to an elevated white blood cell count.
Choice D reason:
Dehydration may result in elevated blood cell counts due to hemoconcentration, but it is not the primary cause of an elevated white blood cell count in peritonitis.
Correct Answer is C
Explanation
Choice A reason:
Bradycardia is not a common side effect of opioid use in clients with peritonitis.
Choice B reason:
Hypertension is not a common side effect of opioid use in clients with peritonitis.
Choice C reason:
Respiratory depression is a potential side effect of opioid use and is a significant concern in clients with peritonitis, as they may already have compromised respiratory function.
Choice D reason:
Diarrhea is not
a common side effect of opioid use in clients with peritonitis.
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