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.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
Choice A reason:
Elevated serum creatinine levels are associated with kidney function and are not specific to peritonitis.
Choice B reason:
Elevated amylase and lipase levels are indicative of pancreatitis and are not directly related to peritonitis.
Choice C reason:
Elevated blood glucose levels may be indicative of diabetes or stress-related hyperglycemia but are not specific to peritonitis.
Choice D reason:
An elevated white blood cell count (WBC) is a common finding in peritonitis, indicating an inflammatory response and possible infection in the peritoneal cavity.
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