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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 B

Explanation

Choice A reason:

Referred pain is pain that is felt in a different location from its source, and it is not directly associated with the sharp, sudden-onset pain described by the client.

Choice B reason:

Visceral pain arises from the internal organs and is often described as sharp and colicky. It worsens with movement and is a characteristic feature of peritonitis.

Choice C reason:

Neuropathic pain is caused by nerve damage and is not typically associated with peritonitis.

Choice D reason:

Radiating pain is pain that extends from its source to other areas, and it is not specifically described in the scenario.

A. Anxiety B. Fatigue C. Pain D. Respiratory distress

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.

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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 with peritonitis reports experiencing sharp, sudden-onset pain that worsens with movement. The nurse recognizes this type of pain as:

Correct Answer is B

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:

Correct Answer is C

Explanation

A nurse is providing education to a group of older adult clients about the risk factors for peritonitis. Which factor is most likely to increase the susceptibility to peritonitis in older adults?

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 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 prescribed intravenous (IV) opioids for pain management. The nurse closely monitors the client for which potential side effect?

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

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 assessing a client suspected of having peritonitis. Which diagnostic test is most likely to be performed to confirm the diagnosis?

A client with suspected peritonitis is scheduled for diagnostic paracentesis. The nurse explains to the client that this procedure involves: