A nurse is assisting with a diagnostic paracentesis for a client with suspected peritonitis. The nurse understands that this procedure involves:
Removal of fluid from the pleural cavity
Removal of fluid from the pericardial sac
Removal of fluid from the peritoneal cavity
Removal of fluid from the spinal canal
The Correct Answer is C
Choice A reason:
Removal of fluid from the pleural cavity would be a thoracentesis, not a paracentesis.
Choice B reason:
Removal of fluid from the pericardial sac would be a pericardiocentesis, not a paracentesis.
Choice C reason:
A diagnostic paracentesis involves removing fluid from the peritoneal cavity to analyze for signs of infection and inflammation, which is important in diagnosing peritonitis.
Choice D reason:
Removal of fluid from the spinal canal would be a lumbar puncture, not a paracentesis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Anxiety may lead to restlessness, but the assumption of a fetal position suggests a pain response, which is a common finding in peritonitis.
Choice B reason:
Fatigue may lead to restlessness, but it does not explain the assumption of a fetal position, which is a pain-coping mechanism.
Choice C reason:
The client assuming a fetal position and exhibiting restlessness are indicative of pain, which is a common symptom in peritonitis.
Choice D reason:
Respiratory distress is not directly related to the findings described in the scenario.
Correct Answer is C
Explanation
Choice A reason:
Lying flat in bed may provide some comfort for the client and is not likely to exacerbate the abdominal pain associated with peritonitis.
Choice B reason:
Using a heating pad on the abdomen may provide some relief for the client and is not likely to exacerbate the abdominal pain associated with peritonitis.
Choice C reason:
Deep breathing and coughing exercises may worsen the client's abdominal pain due to the stretching and movement of the peritoneum during these activities.
Choice D reason:
Administering prescribed analgesics is essential for managing the client's pain and providing comfort during the treatment of peritonitis.
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