A client with peritonitis presents with an elevated temperature, rapid heart rate, and shallow breathing. The nurse recognizes these signs as indicative of:

Hypothermia

Hypertension

Hyperventilation

Systemic inflammatory response

Answer and Explanation

The Correct Answer is D

Choice A reason:

Hypothermia refers to abnormally low body temperature and is not associated with the clinical presentation of peritonitis.

Choice B reason:

Hypertension refers to high blood pressure and is not directly associated with the signs of peritonitis.

Choice C reason:

Hyperventilation involves rapid breathing but may not always be present in peritonitis.

Choice D reason:

The client's elevated temperature, rapid heart rate, and shallow breathing are indicative of a systemic inflammatory response, which is a characteristic feature of peritonitis.

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Correct Answer is B

Explanation

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.

A. Intravenous (IV) antibiotics B. A high-protein diet C. Oral rehydration solutions D. Bowel rest

Correct Answer is A

Explanation

Choice A reason:

Intravenous antibiotics are the standard treatment for spontaneous bacterial peritonitis (SBP) to treat the bacterial infection.

Choice B reason:

A high-protein diet is not the primary intervention for SBP.

Choice C reason:

Oral rehydration solutions are used for rehydration in cases of dehydration but are not the primary treatment for SBP.

Choice D reason:

Bowel rest may be indicated for other conditions but is not the primary intervention for SBP.

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A client with peritonitis presents with an elevated temperature, rapid heart rate, and shallow breathing. The nurse recognizes these signs as indicative of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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:

Correct Answer is B

Explanation

A client is diagnosed with spontaneous bacterial peritonitis (SBP). The nurse anticipates the need for which medical intervention?

Correct Answer is A

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?

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 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:

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

A nurse is providing education to a group of clients about peritonitis and its risk factors. Which client is at the highest risk for developing peritonitis?

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 is prescribed intravenous (IV) opioids for pain management. The nurse closely monitors the client for which potential side effect?

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?