A nurse is preparing a care plan for a client with peritonitis. Which nursing intervention is essential to include in the plan to address potential complications of this condition?
Assessing for peripheral edema daily
Monitoring blood glucose levels regularly
Encouraging fluid intake to 3 liters per day
Implementing fall precautions during ambulation
The Correct Answer is B
Choice A reason:
Assessing for peripheral edema is important for clients with various conditions, but it is not directly related to the potential complications of peritonitis.
Choice B reason:
Monitoring blood glucose levels regularly is essential in clients with peritonitis, as hyperglycemia can be a complication of the inflammatory response and stress associated with the condition.
Choice C reason:
Encouraging fluid intake is essential for clients with peritonitis, but the specific recommendation of 3 liters per day is not universally applicable and may vary based on individual client needs and medical status.
Choice D reason:
Implementing fall precautions is important for clients at risk of falls, but it is not directly related to potential complications of peritonitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Recent travel to a tropical region is not a risk factor for peritonitis.
Choice B reason:
A history of asthma is not a risk factor for peritonitis.
Choice C reason:
Prior abdominal surgery is a significant risk factor for peritonitis because it can lead to perforation of the gastrointestinal tract and the spread of bacteria into the peritoneal cavity.
Choice D reason:
A vegetarian diet is not a risk factor for peritonitis.
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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