A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?
Generalized abdominal pain
Increased heart rate
Cloudy effluent
Fever
The Correct Answer is C
C. Cloudy effluent is one of the earliest and most specific signs of peritonitis. It warrants immediate evaluation and diagnostic testing to confirm the diagnosis and initiate appropriate treatment.
A Generalized abdominal pain is a common symptom of peritonitis but may not be the earliest indication.
B. Tachycardia (increased heart rate) can occur in response to infection or inflammation, including peritonitis. It is a systemic response rather than a localized symptom.
D. Fever can also be associated with peritonitis but may appear later and is not as specific early indicators
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
B. This statement indicates understanding of preventive measures to reduce the risk of transmitting genital herpes to sexual partners. Using condoms, including natural skin (non-latex) condoms, can help reduce the risk of transmission.
A Antiviral medications for genital herpes are typically prescribed to manage outbreaks and reduce symptoms, but the duration can vary depending on the severity of symptoms and recurrence.
b. People with genital herpes should use latex or polyurethane condoms during sexual intercourse, as these are effective at reducing the risk of transmitting the virus. Natural skin condoms (e.g., lambskin condoms) do not provide an effective barrier against the herpes virus because they have tiny pores that can allow the virus to pass through, potentially leading to transmission.
C. These typically heal within 2-4 weeks. While some might take longer, 6 weeks provides a reasonable timeframe for most cases.
D. Antibiotic ointments are not effective against viruses such as herpes simplex virus (HSV). Treatment for genital herpes typically involves antiviral medications
Correct Answer is D
Explanation
A While this statement is factual, it may come off as dismissive of the client’s concerns. The client may feel that their feelings and autonomy are not being respected. It's important to provide education but also to engage the client in a conversation about their concerns.
B. While this statement is intended to provide reassurance and encouragement, it may not be accurate for all clients or situations. It could also oversimplify the client's concerns and may not address the specific reasons for their reluctance to take the medication.
C. This response emphasizes the potential consequences of not adhering to the prescribed treatment plan. It highlights the importance of the medication in managing or treating the client's condition effectively. However, it may come across as threatening or coercive, which is not conducive to building a trusting and collaborative relationship with the client.
D. This is an appropriate response as it acknowledges the client’s autonomy and concern. It indicates that the nurse respects the client’s wishes and that the client will have the opportunity to discuss their concerns further with the provider. This fosters open communication and may lead to a better understanding of the necessity of the medication.
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