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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 C

Explanation

Choice A reason:

Administering pain medication is important for the client's comfort, but it is not the highest priority in managing sepsis, a life-threatening complication of peritonitis. Addressing the underlying infection with antibiotics takes precedence.

Choice B reason:

Monitoring vital signs is essential for assessing the client's condition, but initiating broad-spectrum antibiotic therapy is more critical in managing sepsis.

Choice C reason:

Initiating broad-spectrum antibiotic therapy is the highest priority in managing sepsis. Prompt administration of antibiotics is crucial to treat the bacterial infection and prevent its spread.

Choice D reason:

Providing deep breathing exercises is important for preventing respiratory complications, but it is not the highest priority compared to addressing sepsis with antibiotics.

A. Bradycardia B. Hypotension C. bowel sounds D. Increased urine output

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.

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

Correct Answer is C

Explanation

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 nurse is preparing a care plan for a client with peritonitis. Which nursing intervention is essential to include in the plan to address potential complications of this condition?

A nurse is caring for a client with peritonitis and observes a rigid, board-like abdomen upon palpation. The nurse recognizes this finding as:

A client with peritonitis is undergoing diagnostic imaging. The nurse explains to the client that the purpose of this imaging is to:

A client underwent abdominal surgery and is now at risk of developing peritonitis. The nurse teaches the client about the early signs and symptoms of peritonitis. What should the nurse include in the teaching?

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

A client with peritonitis is prescribed intravenous (IV) antibiotics. The nurse ensures to:

A client with peritonitis develops a wound infection at the surgical site. Which nursing intervention is essential in preventing the spread of infection?

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