A nurse is assessing a client with suspected peritonitis. Which symptom should the nurse expect the client to report?
Chest pain
Severe headache
Abdominal pain and tenderness
Shortness of breath
The Correct Answer is C
Choice A reason:
Chest pain is not a typical symptom of peritonitis, as the condition primarily affects the abdomen.
Choice B reason:
A severe headache is not a characteristic symptom of peritonitis.
Choice C reason:
Abdominal pain and tenderness are hallmark symptoms of peritonitis, resulting from inflammation of the peritoneum lining the abdominal cavity.
Choice D reason:
Shortness of breath is not a common symptom of peritonitis unless there is an associated respiratory complication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is B
Explanation
Choice A reason:
Changing the IV site every 24 hours is not necessary for IV antibiotic administration unless there is an indication of infiltration or infection at the site.
Choice B reason:
Administering the antibiotics using an infusion pump is essential to ensure accurate and controlled delivery of the medication, particularly when the client's condition requires a precise dosing schedule.
Choice C reason:
Discontinuing the antibiotics after 48 hours of improvement may lead to a recurrence of the infection. Clients with peritonitis often require a full course of antibiotic therapy to ensure complete eradication of the infection.
Choice D reason:
Administering the antibiotics through a peripheral IV catheter may not be suitable for the client's condition, as peritonitis may necessitate the use of a central line for administration of IV medications.
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