A client with peritonitis develops a wound infection at the surgical site. Which nursing intervention is essential in preventing the spread of infection?

Administering oral antibiotics

Performing sterile dressing changes

Limiting visitors to the client's room

Providing pain medication as needed

Answer and Explanation

The Correct Answer is B

Choice A reason:

Administering oral antibiotics may be necessary for treating the wound infection, but it does not directly prevent the spread of infection.

Choice B reason:

Performing sterile dressing changes is essential in preventing the spread of infection and promoting wound healing.

Choice C reason:

Limiting visitors to the client's room may help reduce the risk of introducing new pathogens, but it is not the primary intervention for preventing wound infection.

Choice D reason:

Providing pain medication as needed is important for the client's comfort but does not directly prevent the spread of infection.

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Correct Answer is B

Explanation

Choice A reason:

Ascites refers to the accumulation of fluid in the peritoneal cavity and does not necessarily cause bloating and distension of the abdomen in the context of peritonitis.

Choice B reason:

Intestinal obstruction can occur in peritonitis when inflammation or infection causes the intestines to become blocked, leading to bloating and distension of the abdomen.

Choice C reason:

Appendicitis is inflammation of the appendix and may cause pain, but it is not associated with generalized bloating and distension of the abdomen.

Choice D reason:

Pancreatitis is inflammation of the pancreas and may cause abdominal pain, but it is not associated with generalized bloating and distension of the abdomen.

A. Hypoglycemia B. Hyperthyroidism C. Sepsis D. Renal failure

Correct Answer is C

Explanation

Choice A reason:

Hypoglycemia refers to low blood sugar levels and is not directly related to the signs described in the scenario.

Choice B reason:

Hyperthyroidism involves an overactive thyroid gland and may cause symptoms such as weight loss and heat intolerance but is not associated with the signs described.

Choice C reason:

The client's high fever, chills, and profuse sweating are suggestive of sepsis, a severe systemic infection often resulting from peritonitis.

Choice D reason:

Renal failure involves impaired kidney function and may present with specific signs, but it is not directly related to the signs described in the scenario.

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A client with peritonitis develops a wound infection at the surgical site. Which nursing intervention is essential in preventing the spread of infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with peritonitis is experiencing severe abdominal pain. The nurse assesses the client's abdomen and notes that it appears bloated and distended. The nurse recognizes this as a potential sign of:

Correct Answer is B

Explanation

A client with peritonitis develops a high fever, chills, and profuse sweating. The nurse recognizes these signs as indicative of:

Correct Answer is C

Explanation

A client with peritonitis is undergoing diagnostic imaging. The nurse explains to the client that the purpose of this imaging is to:

A nurse is caring for a client with peritonitis who developed sepsis. Which nursing intervention is the highest priority in managing this complication?

A client with peritonitis presents with an elevated temperature, rapid heart rate, and shallow breathing. The nurse recognizes these signs as indicative of:

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

A client with peritonitis develops an elevated white blood cell count. The nurse recognizes this laboratory finding as indicative of:

A client with suspected peritonitis is scheduled for diagnostic paracentesis. The nurse explains to the client that this procedure involves:

A nurse is assisting with a diagnostic paracentesis for a client with suspected peritonitis. The nurse understands that this procedure involves:

A client is undergoing peritoneal dialysis. The nurse recognizes that this client is at an increased risk of developing peritonitis due to: