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

Choice A reason:

Rebound tenderness refers to increased pain upon release of pressure during palpation and is not related to the finding of a rigid, board-like abdomen.

Choice B reason:

Paralytic ileus refers to a condition in which the intestines stop functioning, causing a lack of bowel sounds and distension, but it is not directly related to the rigid abdomen finding.

Choice C reason:

Abdominal compartment syndrome may cause abdominal distension and increased intra-abdominal pressure, but it does not necessarily result in a rigid, board-like abdomen.

Choice D reason:

The finding of a rigid, board-like abdomen upon palpation is known as guarding, which is a protective response of the abdominal muscles in peritonitis to minimize movement and protect the inflamed peritoneum.

Choice A reason:

Anxiety may lead to restlessness, but the assumption of a fetal position suggests a pain response, which is a common finding in peritonitis.

Choice B reason:

Fatigue may lead to restlessness, but it does not explain the assumption of a fetal position, which is a pain-coping mechanism.

Choice C reason:

The client assuming a fetal position and exhibiting restlessness are indicative of pain, which is a common symptom in peritonitis.

Choice D reason:

Respiratory distress is not directly related to the findings described in the scenario.