A client is being seen in the clinic for severe abdominal pain with nausea and vomiting. The nurse assesses the abdomen and notes an absence of bowel sounds and a very rigid abdomen. What would these assessment findings most likely indicate?
Ulcerative colitis.
Appendicitis.
Peritonitis.
Diverticulitis.
The Correct Answer is C
Peritonitis. The assessment findings of an absence of bowel sounds and a very rigid abdomen in a client with severe abdominal pain, nausea, and vomiting are indicative of peritonitis. Peritonitis is an inflammation of the peritoneum, the thin tissue that lines the inner wall of the abdomen and covers most of the abdominal organs. The inflammation can occur due to an infection or other causes, and it can cause abdominal pain, nausea, vomiting, and a rigid abdomen. An absence of bowel sounds is also a characteristic finding of peritonitis.
A is not the correct answer because ulcerative colitis is a chronic inflammatory bowel disease that causes inflammation and ulcers in the colon and rectum.
B is not the correct answer because appendicitis is inflammation of the appendix, which can cause right lower quadrant abdominal pain, nausea, vomiting, and fever.
D is not the correct answer because diverticulitis is inflammation of one or more diverticula, which are small pouches that can form in the colon. It can cause left lower quadrant abdominal pain, fever, diarrhea, or constipation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Anemia from the decrease in the maturation of red blood cells. Erythropoietin, a hormone secreted by the kidneys, stimulates the production of red blood cells in the bone marrow. A decrease in erythropoietin secretion from the kidneys will result in a decrease in the maturation of red blood cells, leading to anemia.
Choice A, an increase in blood sugar levels due to alteration in insulin levels, and Choice C, Decrease in blood sugar levels due to alteration in insulin levels are not associated with decreased secretion of erythropoietin.
Choice D, Development of male sex characteristics is not related to the function of erythropoietin.
Correct Answer is C
Explanation
Hypovolemia. Following a serious thermal burn, the nurse takes action to prevent hypovolemia, which can result from fluid loss due to the burn. Hypovolemia can lead to hypoperfusion of vital organs, including the kidneys, and can cause acute renal failure. Preventing hypovolemia is critical to preventing other complications such as tissue hypoxia, cardiac failure, and infection.
A. Tissue hypoxia and cardiac failure are consequences of hypovolemia due to decreased blood flow to organs.
D. Infection is not the immediate complication to prevent but is a potential complication following burn injury.
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