A nurse is providing care to a client with peritonitis and is reviewing the client's medication history. Which medication places the client at an increased risk of developing peritonitis?
Antibiotics
Antacids
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Oral contraceptives
The Correct Answer is C
Choice A reason:
Antibiotics are used to treat infections, including peritonitis, and do not increase the risk of developing peritonitis.
Choice B reason:
Antacids are used to neutralize stomach acid and do not increase the risk of peritonitis.
Choice C reason:
NSAIDs can cause gastrointestinal irritation and increase the risk of ulcers and perforation, which can lead to peritonitis.
Choice D reason:
Oral contraceptives do not increase the risk of developing peritonitis.
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Correct Answer is D
Explanation
Choice A reason:
Monitoring blood glucose levels is important for clients with various conditions, but it is not directly related to the management of acute kidney injury (AKI) in peritonitis.
Choice B reason:
Administering pain medication is essential for managing the client's pain and providing comfort during treatment, but it is not directly related to the management of acute kidney injury.
Choice C reason:
Encouraging fluid intake is important 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:
Maintaining fluid and electrolyte balance is crucial in managing acute kidney injury in peritonitis. The nurse should closely monitor the client's fluid intake, output, and electrolyte levels and collaborate with the healthcare team to adjust the fluid therapy as needed.
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.
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