A nurse is caring for a client with peritonitis who developed sepsis. Which nursing intervention is the highest priority in managing this complication?

Administering pain medication as prescribed

Monitoring vital signs every 4 hours

Initiating broad-spectrum antibiotic therapy

Providing deep breathing exercises

Answer and Explanation

The Correct Answer is C

Choice A reason:

Administering pain medication is important for the client's comfort, but it is not the highest priority in managing sepsis, a life-threatening complication of peritonitis. Addressing the underlying infection with antibiotics takes precedence.

Choice B reason:

Monitoring vital signs is essential for assessing the client's condition, but initiating broad-spectrum antibiotic therapy is more critical in managing sepsis.

Choice C reason:

Initiating broad-spectrum antibiotic therapy is the highest priority in managing sepsis. Prompt administration of antibiotics is crucial to treat the bacterial infection and prevent its spread.

Choice D reason:

Providing deep breathing exercises is important for preventing respiratory complications, but it is not the highest priority compared to addressing sepsis with antibiotics.

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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.

A. Bradycardia B. Hypertension C. Respiratory depression D. Diarrhea

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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A nurse is caring for a client with peritonitis who developed sepsis. Which nursing intervention is the highest priority in managing this complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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