A client with peritonitis is experiencing abdominal distension and decreased bowel sounds. The nurse suspects the presence of:
Paralytic ileus
Gastroenteritis
Appendicitis
Constipation
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Assessing heart function requires specific cardiac imaging, not the imaging indicated for peritonitis.
Choice B reason:
Identifying bone fractures would require imaging specific to the bones, not the peritoneum.
Choice C reason:
Diagnostic imaging in peritonitis aims to detect inflammation and infection in the peritoneum, helping to confirm the diagnosis and guide treatment.
Choice D reason:
Evaluating lung health would involve pulmonary imaging, not the imaging indicated for peritonitis.
Correct Answer is D
Explanation
Choice A reason:
Having a history of allergies is not a risk factor for peritonitis.
Choice B reason:
Having a history of diabetes is not a risk factor for peritonitis.
Choice C reason:
Having a history of hypertension is not a risk factor for peritonitis.
Choice D reason:
A history of inflammatory bowel disease is a significant risk factor for peritonitis, especially if there are complications such as bowel perforation.
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