A client with peritonitis is prescribed intravenous (IV) fluid resuscitation. The nurse understands that the primary goal of fluid resuscitation is to:

Correct electrolyte imbalances

Prevent circulatory collapse

Maintain adequate urine output

Restore fluid balance

Answer and Explanation

The Correct Answer is B

Choice A reason:

Correcting electrolyte imbalances is important in fluid resuscitation, but the primary goal is to prevent circulatory collapse and restore hemodynamic stability.

Choice B reason:

The primary goal of fluid resuscitation in peritonitis is to prevent circulatory collapse and maintain adequate blood pressure and perfusion to vital organs.

Choice C reason:

Maintaining adequate urine output is one of the indicators of effective fluid resuscitation, but it is not the primary goal in this context.

Choice D reason:

Restoring fluid balance is a goal of fluid resuscitation, but the primary focus is on preventing circulatory collapse and ensuring adequate tissue perfusion.

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Correct Answer is C

Explanation

Choice A reason:

Cholecystitis is inflammation of the gallbladder, which is not related to a ruptured appendix.

Choice B reason:

Gastritis is inflammation of the stomach lining, which may cause abdominal pain but is not related to a ruptured appendix.

Choice C reason:

Peritonitis is inflammation of the peritoneum, the membrane lining the abdominal cavity. It can occur as a complication of a ruptured appendix and presents with severe abdominal pain, tenderness, and fever.

Choice D reason:

Diverticulitis is inflammation of the diverticula (small pouches) in the colon and is not related to a ruptured appendix.

A. Fever and diarrhea B. Abdominal distension and flatulence C. Nausea and vomiting D. Sudden-onset severe abdominal pain and tenderness

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.

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A client with peritonitis is prescribed intravenous (IV) fluid resuscitation. The nurse understands that the primary goal of fluid resuscitation is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client presents to the emergency department with severe abdominal pain, tenderness, and fever. The client reports a recent history of ruptured appendix. The nurse suspects the client may be experiencing:

Correct Answer is C

Explanation

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

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

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 undergoing diagnostic imaging. The nurse explains to the client that the purpose of this imaging is to:

A client with peritonitis is receiving intravenous (IV) antibiotics. The nurse should monitor the client for which potential side effect of antibiotic therapy?

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 caring for a client with a recent perforated gastric ulcer. The nurse identifies that the client is at risk of developing peritonitis due to: