A client with peritonitis is experiencing severe abdominal pain. The nurse assesses the client's abdomen and notes that it appears bloated and distended. The nurse recognizes this as a potential sign of:

Ascites

Intestinal obstruction

Appendicitis

Pancreatitis

Answer and Explanation

The Correct Answer is B

Choice A reason:

Ascites refers to the accumulation of fluid in the peritoneal cavity and does not necessarily cause bloating and distension of the abdomen in the context of peritonitis.

Choice B reason:

Intestinal obstruction can occur in peritonitis when inflammation or infection causes the intestines to become blocked, leading to bloating and distension of the abdomen.

Choice C reason:

Appendicitis is inflammation of the appendix and may cause pain, but it is not associated with generalized bloating and distension of the abdomen.

Choice D reason:

Pancreatitis is inflammation of the pancreas and may cause abdominal pain, but it is not associated with generalized bloating and distension of the abdomen.

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Correct Answer is C

Explanation

Choice A reason:

Antibiotics are used to treat infections, including peritonitis, and do not increase the risk of developing peritonitis.

Choice B reason:

Antacids are used to neutralize stomach acid and do not increase the risk of peritonitis.

Choice C reason:

NSAIDs can cause gastrointestinal irritation and increase the risk of ulcers and perforation, which can lead to peritonitis.

Choice D reason:

Oral contraceptives do not increase the risk of developing peritonitis.

A. Removal of fluid from the pleural cavity B. Removal of fluid from the pericardial sac C. Removal of fluid from the peritoneal cavity D. Removal of fluid from the spinal canal

Correct Answer is C

Explanation

Choice A reason:

Removal of fluid from the pleural cavity would be a thoracentesis, not a paracentesis.

Choice B reason:

Removal of fluid from the pericardial sac would be a pericardiocentesis, not a paracentesis.

Choice C reason:

A diagnostic paracentesis involves removing fluid from the peritoneal cavity to analyze for signs of infection and inflammation, which is important in diagnosing peritonitis.

Choice D reason:

Removal of fluid from the spinal canal would be a lumbar puncture, not a paracentesis.

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A client with peritonitis is experiencing severe abdominal pain. The nurse assesses the client's abdomen and notes that it appears bloated and distended. The nurse recognizes this as a potential sign of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse is assisting with a diagnostic paracentesis for a client with suspected peritonitis. The nurse understands that this procedure involves:

Correct Answer is C

Explanation

A client is admitted to the hospital with peritonitis. The nurse is conducting an assessment and asks the client about their recent medical history. Which risk factor is most likely associated with the development of peritonitis in this client?

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

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 reports experiencing sharp, sudden-onset pain that worsens with movement. The nurse recognizes this type of pain as:

A client with a history of appendectomy develops peritonitis. The nurse anticipates which diagnostic test to confirm the diagnosis?

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

A nurse is caring for a client with peritonitis who developed sepsis. Which nursing intervention is the highest priority in managing this complication?