A nurse is caring for a client with a recent perforated gastric ulcer. The nurse identifies that the client is at risk of developing peritonitis due to:

Excessive alcohol consumption

Sedentary lifestyle

Gastric acid hypersecretion

Frequent use of antacids

Answer and Explanation

The Correct Answer is C

Choice A reason:

Excessive alcohol consumption can contribute to the development of gastric ulcers but is not directly related to an increased risk of peritonitis in clients with perforated gastric ulcers.

Choice B reason:

A sedentary lifestyle is not directly related to an increased risk of peritonitis in clients with perforated gastric ulcers.

Choice C reason:

Gastric acid hypersecretion can contribute to the formation of gastric ulcers and increase the risk of perforation, which can lead to peritonitis.

Choice D reason:

Frequent use of antacids may alleviate symptoms of gastric ulcers but is not directly related to an increased risk of peritonitis in clients with perforated gastric ulcers.

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Correct Answer is C

Explanation

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.

A. Increased urine output B. Abdominal distension and firmness C. Normal respiratory rate D. Mild incisional pain

Correct Answer is B

Explanation

Choice A reason:

Increased urine output is not a concerning finding in this context and may indicate adequate fluid resuscitation.

Choice B reason:

Abdominal distension and firmness are concerning findings and may indicate the development of abdominal compartment syndrome, a serious complication of peritonitis.

Choice C reason:

Normal respiratory rate is a positive finding, but it does not directly relate to the development of abdominal compartment syndrome.

Choice D reason:

Mild incisional pain is expected after surgery, but it does not indicate the development of abdominal compartment syndrome.

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A nurse is caring for a client with a recent perforated gastric ulcer. The nurse identifies that the client is at risk of developing peritonitis due to:

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

A nurse is caring for a client with peritonitis who is at risk of developing abdominal compartment syndrome. Which assessment finding should the nurse be most concerned about?

Correct Answer is B

Explanation

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 providing education to a group of clients about peritonitis and its risk factors. Which client is at the highest risk for developing peritonitis?

A client with peritonitis is receiving intravenous (IV) antibiotics. The nurse should monitor the client for which potential side effect of antibiotic therapy?

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 caring for a client with peritonitis and is reviewing the client's medical history. Which condition places the client at an increased risk of developing peritonitis?

A client with a history of appendectomy develops peritonitis. The nurse anticipates which diagnostic test to confirm the diagnosis?

A client with peritonitis is prescribed a nasogastric (NG) tube for decompression. The nurse understands that the primary purpose of the NG tube is to: