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

Chest pain

Severe headache

Abdominal pain and tenderness

Shortness of breath

Answer and Explanation

The Correct Answer is C

Choice A reason:

Chest pain is not a typical symptom of peritonitis, as the condition primarily affects the abdomen.

Choice B reason:

A severe headache is not a characteristic symptom of peritonitis.

Choice C reason:

Abdominal pain and tenderness are hallmark symptoms of peritonitis, resulting from inflammation of the peritoneum lining the abdominal cavity.

Choice D reason:

Shortness of breath is not a common symptom of peritonitis unless there is an associated respiratory complication.

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Correct Answer is B

Explanation

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.

A. Excessive alcohol consumption B. Sedentary lifestyle C. Gastric acid hypersecretion D. Frequent use of antacids

Correct Answer is C

Explanation

Choice A reason:

Excessive alcohol consumption can contribute to the development of gastric ulcers but is not directly related to an increased risk of peritonitis in clients with perforated gastric ulcers.

Choice B reason:

A sedentary lifestyle is not directly related to an increased risk of peritonitis in clients with perforated gastric ulcers.

Choice C reason:

Gastric acid hypersecretion can contribute to the formation of gastric ulcers and increase the risk of perforation, which can lead to peritonitis.

Choice D reason:

Frequent use of antacids may alleviate symptoms of gastric ulcers but is not directly related to an increased risk of peritonitis in clients with perforated gastric ulcers.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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:

Correct Answer is C

Explanation

A nurse caring for a client with peritonitis observes the client assuming a fetal position and exhibiting restlessness. The nurse interprets these behaviors as indicative of:

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

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 at risk of developing septic shock. Which clinical manifestation should the nurse closely monitor to detect early signs of septic shock?

A client with peritonitis is experiencing abdominal distension and decreased bowel sounds. The nurse suspects the presence of:

A client is admitted to the hospital with peritonitis. The nurse is conducting an assessment and asks the client about their recent medical history. Which risk factor is most likely associated with the development of peritonitis in this client?

A nurse is caring for a client with peritonitis and anticipates the need for a paracentesis. What is the purpose of a paracentesis in this client?

A client with peritonitis develops hypotension and tachycardia. The nurse recognizes these signs as possible indications of which complication?