The nurse is caring for an older patient recovering from a bleeding ulcer. Which manifestations should the nurse use to determine whether the patient is experiencing peritonitis?

Select all that apply.

1. confusion
2. bradycardia
3. restlessness
4. abdominal discomfort
5. decreased urinary output


Correct Answer: 1, 3, 4, 5
Patients who are older, chronically debilitated, or immunosuppressed may present with few of the classic signs of peritonitis. Increased confusion and restlessness, decreased urinary output, and vague abdominal complaints may be the only manifestations present. Bradycardia is not a manifestation of peritonitis in an older patient.

Nursing

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The nurse is conducting a spiritual assessment for the parents of an infant who is hospitalized. Which assessment question is most appropriate?

1) "Do you identify with any organized religion?" 2) "Do you have concerns regarding your baby's illness?" 3) "Are you agnostic or atheist?" 4) "Is your religion monotheistic or pantheistic?"

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The nurse is satisfied that a tourniquet is placed correctly on the patient's arm when

1. The patient's arm is cool to the touch. 2. The patient is not complaining of discomfort. 3. The arterial pulse distal to the tourniquet is palpable. 4. There is increased visibility of the veins.

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A gland that is overdeveloped is referred to which of the following conditions?

A. hypercytosis B. hyperplasia C. adenoma D. cytomegaly

Nursing