A client is diagnosed with spontaneous bacterial peritonitis (SBP). The nurse anticipates the need for which medical intervention?

Intravenous (IV) antibiotics

A high-protein diet

Oral rehydration solutions

Bowel rest

Answer and Explanation

The Correct Answer is A

Choice A reason:

Intravenous antibiotics are the standard treatment for spontaneous bacterial peritonitis (SBP) to treat the bacterial infection.

Choice B reason:

A high-protein diet is not the primary intervention for SBP.

Choice C reason:

Oral rehydration solutions are used for rehydration in cases of dehydration but are not the primary treatment for SBP.

Choice D reason:

Bowel rest may be indicated for other conditions but is not the primary intervention for SBP.

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Correct Answer is A

Explanation

Choice A reason:

Abdominal distension and decreased bowel sounds are classic signs of paralytic ileus, a common complication of peritonitis.

Choice B reason:

Gastroenteritis is inflammation of the gastrointestinal tract and may cause diarrhea and abdominal pain but is not related to the specific symptoms described.

Choice C reason:

Appendicitis is inflammation of the appendix and is not related to abdominal distension and decreased bowel sounds.

Choice D reason:

Constipation may cause abdominal distension, but decreased bowel sounds are not characteristic of constipation.

A. Bradycardia B. Hypotension C. bowel sounds D. Increased urine output

Correct Answer is B

Explanation

Choice A reason:

Bradycardia is not a concerning finding in this context and may indicate a vagal response or be a side effect of certain medications.

Choice B reason:

Hypotension is a concerning finding and may indicate hypovolemic shock, a potentially life-threatening complication of peritonitis.

Choice C reason:

Hyperactive bowel sounds are not a concerning finding in this context and may be a sign of gastrointestinal motility.

Choice D reason:

Increased urine output may be a positive finding but does not directly relate to the development of hypovolemic shock.

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A client is diagnosed with spontaneous bacterial peritonitis (SBP). The nurse anticipates the need for which medical intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with peritonitis is experiencing abdominal distension and decreased bowel sounds. The nurse suspects the presence of:

Correct Answer is A

Explanation

A client with peritonitis is at risk of developing hypovolemic shock. Which assessment finding should the nurse be most concerned about?

Correct Answer is B

Explanation

A nurse is caring for a client with peritonitis and anticipates the need for a paracentesis. What is the purpose of a paracentesis in this client?

A nurse is assessing a client suspected of having peritonitis. Which diagnostic test is most likely to be performed to confirm the diagnosis?

A nurse is providing education to a group of older adult clients about the risk factors for peritonitis. Which factor is most likely to increase the susceptibility to peritonitis in older adults?

A client with a history of appendectomy develops peritonitis. The nurse anticipates which diagnostic test to confirm the diagnosis?

A client with suspected peritonitis is undergoing abdominal imaging. The nurse prepares the client for which diagnostic imaging modality that can provide detailed images of the peritoneal organs and structures?

A nurse caring for a client with peritonitis observes the client assuming a fetal position and exhibiting restlessness. The nurse interprets these behaviors as indicative of:

A client with peritonitis experiences abdominal distension and decreased bowel sounds on auscultation. The nurse recognizes these findings as suggestive of:

A nurse is caring for a client with peritonitis and is reviewing the client's medical history. Which condition places the client at an increased risk of developing peritonitis?