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 A
Explanation
Choice A reason:
Peritoneal dialysis involves inserting a catheter into the peritoneal cavity, which can increase the risk of infection at the insertion site and lead to peritonitis.
Choice B reason:
High blood pressure is not directly related to an increased risk of peritonitis in clients undergoing peritoneal dialysis.
Choice C reason:
Elevated cholesterol levels are not directly related to an increased risk of peritonitis in clients undergoing peritoneal dialysis.
Choice D reason:
An allergic reaction to the dialysis solution is a possibility but is not the primary reason for an increased risk of peritonitis in clients undergoing peritoneal dialysis.
Correct Answer is B
Explanation
Choice A reason:
Bradycardia is not a concerning finding in this context and may indicate a vagal response or be a side effect of certain medications.
Choice B reason:
Hypotension is a concerning finding and may indicate hypovolemic shock, a potentially life-threatening complication of peritonitis.
Choice C reason:
Hyperactive bowel sounds are not a concerning finding in this context and may be a sign of gastrointestinal motility.
Choice D reason:
Increased urine output may be a positive finding but does not directly relate to the development of hypovolemic shock.
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