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

Hypovolemic shock

Paralytic ileus

Intestinal obstruction

Urinary retention

Answer and Explanation

The Correct Answer is B

Choice A reason:

Hypovolemic shock involves severe blood loss or fluid depletion and may present with signs of hypotension and tachycardia but is not directly related to the findings described.

Choice B reason:

Paralytic ileus is a lack of bowel motility that causes abdominal distension and decreased bowel sounds, and it is a common complication of peritonitis.

Choice C reason:

Intestinal obstruction involves a blockage of the intestines and may present with abdominal distension and altered bowel sounds, but it is not directly related to peritonitis in this context.

Choice D reason:

Urinary retention involves the inability to empty the bladder fully and is not related to the findings described in the scenario.

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Correct Answer is D

Explanation

Choice A reason:

Elevated serum creatinine levels are associated with kidney function and are not specific to peritonitis.

Choice B reason:

Elevated amylase and lipase levels are indicative of pancreatitis and are not directly related to peritonitis.

Choice C reason:

Elevated blood glucose levels may be indicative of diabetes or stress-related hyperglycemia but are not specific to peritonitis.

Choice D reason:

An elevated white blood cell count (WBC) is a common finding in peritonitis, indicating an inflammatory response and possible infection in the peritoneal cavity.

A. Inserting a catheter into the bladder to collect urine B. Removing fluid from the peritoneal cavity for analysis C. Injecting contrast dye into the bloodstream for imaging D. Taking a tissue sample from the peritoneal lining

Correct Answer is B

Explanation

Choice A reason:

Inserting a catheter into the bladder to collect urine is not related to diagnostic paracentesis for peritonitis.

Choice B reason:

Diagnostic paracentesis involves removing fluid from the peritoneal cavity for analysis, helping to identify the presence of infection or inflammation in the peritoneum.

Choice C reason:

Injecting contrast dye into the bloodstream for imaging is not a part of the diagnostic paracentesis procedure.

Choice D reason:

Taking a tissue sample from the peritoneal lining is not the purpose of diagnostic paracentesis.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client suspected of having peritonitis. Which finding is most indicative of this condition?

Correct Answer is D

Explanation

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

Correct Answer is B

Explanation

A client with peritonitis is experiencing severe abdominal pain. The nurse recognizes that this pain may be exacerbated by which factor?

A nurse is caring for a client with a recent perforated gastric ulcer. The nurse identifies that the client is at risk of developing peritonitis due to:

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

A client with peritonitis is prescribed intravenous (IV) opioids for pain management. The nurse closely monitors the client for which potential side effect?

A client with peritonitis develops hypotension and tachycardia. The nurse recognizes these signs as possible indications of which complication?

A client with peritonitis is prescribed continuous gastric suction. The nurse understands that this intervention is essential to:

A nurse is preparing a care plan for a client with peritonitis. Which nursing intervention is essential to include in the plan to address potential complications of this condition?

A client is recovering from peritonitis and is being discharged from the hospital. The nurse provides discharge instructions and emphasizes the importance of: