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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

Answer and Explanation

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 B

Explanation

Choice A reason:

Bradycardia is not a concerning finding in this context and may indicate a vagal response or be a side effect of certain medications.

Choice B reason:

Hypotension is a concerning finding and may indicate hypovolemic shock, a potentially life-threatening complication of peritonitis.

Choice C reason:

Hyperactive bowel sounds are not a concerning finding in this context and may be a sign of gastrointestinal motility.

Choice D reason:

Increased urine output may be a positive finding but does not directly relate to the development of hypovolemic shock.

A. Ascites B. Intestinal obstruction C. Appendicitis D. Pancreatitis

Correct Answer is B

Explanation

Choice A reason:

Ascites refers to the accumulation of fluid in the peritoneal cavity and does not necessarily cause bloating and distension of the abdomen in the context of peritonitis.

Choice B reason:

Intestinal obstruction can occur in peritonitis when inflammation or infection causes the intestines to become blocked, leading to bloating and distension of the abdomen.

Choice C reason:

Appendicitis is inflammation of the appendix and may cause pain, but it is not associated with generalized bloating and distension of the abdomen.

Choice D reason:

Pancreatitis is inflammation of the pancreas and may cause abdominal pain, but it is not associated with generalized bloating and distension of the abdomen.

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A nurse is assessing a client with suspected peritonitis. Which clinical finding is a hallmark sign of this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with peritonitis is at risk of developing hypovolemic shock. Which assessment finding should the nurse be most concerned about?

Correct Answer is B

Explanation

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:

Correct Answer is B

Explanation

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 develops acute kidney injury (AKI). Which nursing intervention is essential in the management of this complication?

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

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

A nurse is assessing a client with suspected peritonitis. Which symptom should the nurse expect the client to report?

A nurse is caring for a client with peritonitis who developed sepsis. Which nursing intervention is the highest priority in managing this complication?

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

A client with peritonitis is experiencing severe abdominal pain. The nurse recognizes that this pain may be exacerbated by which factor?