Which antimicrobial class would be contraindicated in a client who will be receiving neuromuscular blockade for a surgical procedure?

A. This finding is generally not associated with peritonitis. Instead, hyperactive bowel sounds may indicate early gastrointestinal irritation or obstruction. In the case of peritonitis, bowel sounds are often diminished or absent due to the inflammation and irritation of the peritoneum.
B. Profuse diarrhea is not a typical sign of peritonitis. While gastrointestinal disturbances can occur, diarrhea is more commonly associated with infections or irritations of the intestines rather than with peritonitis itself. Peritonitis typically presents with symptoms related to abdominal rigidity and pain.
C. A hard, rigid abdomen is a classic sign of peritonitis. It indicates involuntary guarding, which occurs as a response to inflammation and irritation of the peritoneum. The rigidity reflects the body's protective mechanism against pain and is a significant assessment finding.

D. While abdominal cramping can occur in various gastrointestinal conditions, it is not a specific indicator of peritonitis. In cases of peritonitis, the pain is often more severe and localized rather than cramping. The patient may experience sharp, steady pain that worsens with movement.

A. Encouraging a child with hypoglycemia to ambulate can be dangerous. Physical activity can further lower blood sugar levels, which could exacerbate the situation. It’s better to keep the child stable and provide treatment for the low blood sugar.
B. Waiting to confirm the blood glucose reading is not appropriate in this case. A blood glucose level of 50 mg/dL requires immediate intervention, not a delay. The priority is to treat the hypoglycemia right away.
C. Providing a fast-acting carbohydrate, like a tablespoon of honey, is an appropriate intervention for treating hypoglycemia. Other options could include glucose tablets or juice. The key is to quickly raise the blood sugar level.
D. Administering insulin when blood glucose levels are low is contraindicated. Insulin would further decrease the blood sugar level, worsening the hypoglycemic state. The priority is to treat the low blood sugar, not to give insulin.
E. If the child becomes unconscious due to hypoglycemia and is unable to swallow, glucagon should be prepared for administration. Glucagon can help raise blood sugar levels in emergency situations.