A nurse is assessing a client with suspected peritonitis. Which clinical finding is a hallmark sign of this condition?
Severe headache and neck stiffness
Rapid and shallow breathing
Abdominal rigidity and tenderness
Hyperactive bowel sounds
The Correct Answer is C
Choice A reason:
Severe headache and neck stiffness are signs of meningitis and are not directly related to peritonitis.
Choice B reason:
Rapid and shallow breathing may occur with other respiratory conditions but is not a hallmark sign of peritonitis.
Choice C reason:
Abdominal rigidity and tenderness are hallmark signs of peritonitis and are caused by the inflammation of the peritoneum.
Choice D reason:
Hyperactive bowel sounds may occur with gastrointestinal disorders but are not specific to peritonitis.
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Correct Answer is D
Explanation
Choice A reason:
An electrocardiogram (ECG) is used to assess the electrical activity of the heart and is not specific to diagnosing peritonitis.
Choice B reason:
A complete blood count (CBC) may reveal elevated white blood cell count and inflammatory markers, but it alone cannot confirm the diagnosis of peritonitis.
Choice C reason:
A chest X-ray may be performed to rule out other conditions, but it is not the primary diagnostic test for peritonitis.
Choice D reason:
An abdominal computed tomography (CT) scan is a valuable diagnostic tool for identifying signs of inflammation and infection in the peritoneal cavity, aiding in the confirmation of peritonitis.
Correct Answer is C
Explanation
Choice A reason:
A chest X-ray is not the primary diagnostic test for peritonitis.
Choice B reason:
An ECG is used to assess cardiac function and is not specific to peritonitis.
Choice C reason:
An abdominal ultrasound is commonly used to diagnose peritonitis and can help visualize inflammation or fluid in the peritoneal cavity.
Choice D reason:
A CBC may show elevated white blood cell count, which is an indication of infection, but it is not a confirmatory test for peritonitis.
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