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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

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A reason:

Intravenous antibiotics are the standard treatment for spontaneous bacterial peritonitis (SBP) to treat the bacterial infection.

Choice B reason:

A high-protein diet is not the primary intervention for SBP.

Choice C reason:

Oral rehydration solutions are used for rehydration in cases of dehydration but are not the primary treatment for SBP.

Choice D reason:

Bowel rest may be indicated for other conditions but is not the primary intervention for SBP.

A. Prevent aspiration pneumonia B. Reduce intra-abdominal pressure C. Manage pain and discomfort D. Promote bowel rest

Correct Answer is D

Explanation

Choice A reason:

Continuous gastric suction is not primarily intended to prevent aspiration pneumonia, although it may indirectly help reduce the risk of aspiration in some cases.

Choice B reason:

Reducing intra-abdominal pressure is not the primary purpose of continuous gastric suction, although it may have some effect on the overall abdominal pressure.

Choice C reason:

Continuous gastric suction is not primarily intended to manage pain and discomfort in the client with peritonitis, although it may help alleviate some symptoms.

Choice D reason:

Promoting bowel rest is the main purpose of continuous gastric suction in the management of peritonitis. By reducing the workload of the gastrointestinal tract, the inflamed peritoneum can heal and recover more effectively.

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A nurse is assisting with a diagnostic paracentesis for a client with suspected peritonitis. The nurse understands that this procedure involves:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

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

Correct Answer is D

Explanation

A nurse is providing care to a client with peritonitis and is reviewing the client's medication history. Which medication places the client at an increased risk of developing peritonitis?

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 undergoing peritoneal dialysis. The nurse recognizes that this client is at an increased risk of developing peritonitis due to:

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

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 diagnosed with peritonitis. Which intervention is the highest priority in the management of this condition?

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