A nurse is assessing a client who has peritonitis. Which of the following findings should the nurse expect?

Hyperactive bowel sounds

Increased urinary output

Frequent bowel movements

Rigid abdomen

Answer and Explanation

The Correct Answer is D

Choice A reason: Hyperactive bowel sounds are not typically associated with peritonitis. Instead, peritonitis often leads to decreased or absent bowel sounds due to the inflammation and subsequent ileus (paralysis of the bowel), which slows down or halts peristalsis.
Choice B reason: Increased urinary output is not a common symptom of peritonitis. In fact, peritonitis can sometimes result in reduced urine output due to the body's response to infection and inflammation, which can affect kidney function.
Choice C reason: Frequent bowel movements are not characteristic of peritonitis. The inflammation in the peritoneal cavity often leads to bowel paralysis, resulting in decreased bowel movements rather than increased frequency.
Choice D reason: A rigid abdomen is a hallmark sign of peritonitis. The rigidity is due to the body's protective response to the severe inflammation in the peritoneal cavity, causing the abdominal muscles to tighten and become hard. This clinical sign, along with severe pain, can help healthcare providers diagnose peritonitis.

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Correct Answer is B

Explanation

Choice A reason: Increasing need for pain medication is not a typical outcome expected when a client is educated about their new colostomy. Proper education can help manage and reduce pain through better understanding and care techniques. The objective is often to reduce discomfort by teaching clients how to care for their colostomy properly, thus reducing complications and the associated pain.
Choice B reason: Report of empowerment is the expected outcome. Education aims to make the client feel capable and confident in managing their new condition. Empowerment indicates that the client understands their condition and feels confident in their ability to manage their colostomy, which can improve their overall quality of life and reduce the psychological impact of the procedure. Empowerment also helps in reducing the dependency on healthcare professionals and promotes self-care.
Choice C reason: An increase in the length of care in the healthcare facility is not an expected outcome. Proper patient education should ideally reduce the length of stay in the healthcare facility by equipping the client with the knowledge and skills needed to manage their colostomy at home, thus reducing the need for prolonged hospital stays.
Choice D reason: Reporting of anxiety is not the desired outcome. While some initial anxiety might be expected, the goal of patient education is to reduce anxiety by providing the client with the necessary information and skills to feel confident in managing their colostomy. Effective education should help alleviate anxiety by addressing concerns and providing support and reassurance.

A. Hypolipidemia B. Diabetes mellitus C. Gallstones D. COPD

Correct Answer is C

Explanation

Choice A reason: Hypolipidemia, or low levels of lipids in the blood, is not typically associated with acute pancreatitis. Hyperlipidemia (high levels of lipids) is a more relevant factor.
Choice B reason: Diabetes mellitus is a chronic condition that can develop as a result of chronic pancreatitis, but it is not a direct risk factor for acute pancreatitis.
Choice C reason: Gallstones are a common cause of acute pancreatitis. They can block the pancreatic duct, leading to inflammation and pain.
Choice D reason: COPD, a chronic lung disease, is not associated with acute pancreatitis and does not increase the risk for this condition.

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A nurse is assessing a client who has peritonitis. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a new colostomy. Which of the following outcomes should the nurse expect?

Correct Answer is B

Explanation

A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?

Correct Answer is C

Explanation

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