A nurse is caring for a client with peritonitis who is at risk of developing abdominal compartment syndrome. Which assessment finding should the nurse be most concerned about?
Increased urine output
Abdominal distension and firmness
Normal respiratory rate
Mild incisional pain
The Correct Answer is B
Choice A reason:
Increased urine output is not a concerning finding in this context and may indicate adequate fluid resuscitation.
Choice B reason:
Abdominal distension and firmness are concerning findings and may indicate the development of abdominal compartment syndrome, a serious complication of peritonitis.
Choice C reason:
Normal respiratory rate is a positive finding, but it does not directly relate to the development of abdominal compartment syndrome.
Choice D reason:
Mild incisional pain is expected after surgery, but it does not indicate the development of abdominal compartment syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Hypovolemic shock involves severe blood loss or fluid depletion and may present with signs of hypotension and tachycardia but is not directly related to the findings described.
Choice B reason:
Paralytic ileus is a lack of bowel motility that causes abdominal distension and decreased bowel sounds, and it is a common complication of peritonitis.
Choice C reason:
Intestinal obstruction involves a blockage of the intestines and may present with abdominal distension and altered bowel sounds, but it is not directly related to peritonitis in this context.
Choice D reason:
Urinary retention involves the inability to empty the bladder fully and is not related to the findings described in the scenario.
Correct Answer is B
Explanation
Choice A reason:
Hypothyroidism is not a risk factor for peritonitis.
Choice B reason:
Chronic kidney disease can weaken the immune system and make the client more susceptible to infections such as peritonitis.
Choice C reason:
Migraine headaches are not a risk factor for peritonitis.
Choice D reason:
GERD is not a risk factor for peritonitis.
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