A client with peritonitis is prescribed a nasogastric (NG) tube for decompression. The nurse understands that the primary purpose of the NG tube is to:

Prevent aspiration pneumonia

Relieve abdominal distension

Monitor gastric pH levels

Administer enteral nutrition

Answer and Explanation

The Correct Answer is B

Choice A reason:

Preventing aspiration pneumonia is one of the benefits of an NG tube, but the primary purpose in peritonitis is to relieve abdominal distension caused by fluid and gas accumulation.

Choice B reason:

Relieving abdominal distension is the primary purpose of an NG tube in clients with peritonitis, as it helps remove fluid and gas from the stomach and intestines, reducing pressure on the peritoneum.

Choice C reason:

Monitoring gastric pH levels may be done with an NG tube in certain situations, but it is not the primary purpose in the context of peritonitis.

Choice D reason:

Administering enteral nutrition may be a secondary purpose of an NG tube in some cases, but it is not the primary goal in clients with peritonitis.

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Correct Answer is D

Explanation

Choice A reason:

Fever and diarrhea are not specific early signs of peritonitis.

Choice B reason:

Abdominal distension and flatulence may occur for various reasons after abdominal surgery, but they are not specific to peritonitis.

Choice C reason:

Nausea and vomiting can be caused by various post-operative factors and are not specific to peritonitis.

Choice D reason:

Sudden-onset severe abdominal pain and tenderness are classic early signs of peritonitis and indicate the need for immediate medical attention.

A. Slower metabolism B. Decreased immune function C. Increased bone density D. Reduced gastrointestinal motility

Correct Answer is B

Explanation

Choice A reason:

Slower metabolism is a normal age-related change but is not directly related to an increased susceptibility to peritonitis in older adults.

Choice B reason:

Older adults may have decreased immune function, which can increase their susceptibility to infections, including peritonitis.

Choice C reason:

Increased bone density is not directly related to an increased susceptibility to peritonitis in older adults.

Choice D reason:

Reduced gastrointestinal motility is a normal age-related change but is not directly related to an increased susceptibility to peritonitis in older adults.

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A client with peritonitis is prescribed a nasogastric (NG) tube for decompression. The nurse understands that the primary purpose of the NG tube is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client underwent abdominal surgery and is now at risk of developing peritonitis. The nurse teaches the client about the early signs and symptoms of peritonitis. What should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is providing education to a group of older adult clients about the risk factors for peritonitis. Which factor is most likely to increase the susceptibility to peritonitis in older adults?

Correct Answer is B

Explanation

A nurse is caring for a client with peritonitis and observes a rigid, board-like abdomen upon palpation. The nurse recognizes this finding as:

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

A client with peritonitis is at risk of developing septic shock. Which clinical manifestation should the nurse closely monitor to detect early signs of septic shock?

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

A client with peritonitis develops an elevated white blood cell count. The nurse recognizes this laboratory finding as indicative of:

A client with peritonitis develops a high fever, chills, and profuse sweating. The nurse recognizes these signs as indicative of:

A client is undergoing peritoneal dialysis. The nurse recognizes that this client is at an increased risk of developing peritonitis due to:

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