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

Paralytic ileus

Gastroenteritis

Appendicitis

Constipation

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason:

Chest pain is not a typical symptom of peritonitis, as the condition primarily affects the abdomen.

Choice B reason:

A severe headache is not a characteristic symptom of peritonitis.

Choice C reason:

Abdominal pain and tenderness are hallmark symptoms of peritonitis, resulting from inflammation of the peritoneum lining the abdominal cavity.

Choice D reason:

Shortness of breath is not a common symptom of peritonitis unless there is an associated respiratory complication.

A. Assessing for peripheral edema daily B. Monitoring blood glucose levels regularly C. Encouraging fluid intake to 3 liters per day D. Implementing fall precautions during ambulation

Correct Answer is B

Explanation

Choice A reason:

Assessing for peripheral edema is important for clients with various conditions, but it is not directly related to the potential complications of peritonitis.

Choice B reason:

Monitoring blood glucose levels regularly is essential in clients with peritonitis, as hyperglycemia can be a complication of the inflammatory response and stress associated with the condition.

Choice C reason:

Encouraging fluid intake is essential for clients with peritonitis, but the specific recommendation of 3 liters per day is not universally applicable and may vary based on individual client needs and medical status.

Choice D reason:

Implementing fall precautions is important for clients at risk of falls, but it is not directly related to potential complications of peritonitis.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

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

A client with peritonitis is experiencing acute respiratory distress. Which intervention is the nurse's priority in managing this complication?

A client with cirrhosis is admitted to the hospital with suspected peritonitis. The nurse understands that cirrhosis is a significant risk factor for peritonitis due to:

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

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 caring for a client with peritonitis observes the client assuming a fetal position and exhibiting restlessness. The nurse interprets these behaviors as indicative of:

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?

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