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 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.

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 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 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 at risk of developing hypovolemic shock. Which assessment finding should the nurse be most concerned about?

Correct Answer is B

Explanation

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

A nurse is caring for a client diagnosed with peritonitis. Which intervention is the highest priority in the management of this condition?

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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?

A nurse is assessing a client with suspected peritonitis. Which symptom should the nurse expect the client to report?

A client with peritonitis is receiving intravenous (IV) antibiotics. The nurse should monitor the client for which potential side effect of antibiotic therapy?

A nurse is providing care to a client with peritonitis and is reviewing the client's medication history. Which medication places the client at an increased risk of developing peritonitis?