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:
Administering oxygen as prescribed is the priority intervention in managing acute respiratory distress to improve oxygenation and support respiratory function.
Choice B reason:
Elevating the head of the bed is helpful for promoting lung expansion, but it is not the priority intervention in managing acute respiratory distress.
Choice C reason:
Monitoring blood pressure regularly is essential in assessing the client's overall condition, but it does not directly address the respiratory distress.
Choice D reason:
Administering bronchodilator medication is not the priority intervention in managing acute respiratory distress unless there is a specific indication for its use.
Correct Answer is D
Explanation
Choice A reason:
Fever and diarrhea are not specific early signs of peritonitis.
Choice B reason:
Abdominal distension and flatulence may occur for various reasons after abdominal surgery, but they are not specific to peritonitis.
Choice C reason:
Nausea and vomiting can be caused by various post-operative factors and are not specific to peritonitis.
Choice D reason:
Sudden-onset severe abdominal pain and tenderness are classic early signs of peritonitis and indicate the need for immediate medical attention.
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