A nurse is caring for a client with peritonitis and observes a rigid, board-like abdomen upon palpation. The nurse recognizes this finding as:
Rebound tenderness
Paralytic ileus
Abdominal compartment syndrome
Guarding
The Correct Answer is D
Choice A reason:
Rebound tenderness refers to increased pain upon release of pressure during palpation and is not related to the finding of a rigid, board-like abdomen.
Choice B reason:
Paralytic ileus refers to a condition in which the intestines stop functioning, causing a lack of bowel sounds and distension, but it is not directly related to the rigid abdomen finding.
Choice C reason:
Abdominal compartment syndrome may cause abdominal distension and increased intra-abdominal pressure, but it does not necessarily result in a rigid, board-like abdomen.
Choice D reason:
The finding of a rigid, board-like abdomen upon palpation is known as guarding, which is a protective response of the abdominal muscles in peritonitis to minimize movement and protect the inflamed peritoneum.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Administering pain medication is important for the client's comfort, but it is not the highest priority in the management of peritonitis. Addressing the underlying infection with antibiotics takes precedence.
Choice B reason:
Monitoring vital signs is essential for assessing the client's condition, but initiating antibiotic therapy is more critical to address the underlying infection.
Choice C reason:
Initiating intravenous (IV) antibiotic therapy is the highest priority in the management of peritonitis. Prompt administration of antibiotics is essential to treat the bacterial infection and prevent its spread.
Choice D reason:
Encouraging deep breathing and coughing exercises is beneficial for preventing respiratory complications, but it is not the highest priority compared to addressing the infection with antibiotics.
Correct Answer is B
Explanation
Choice A reason:
Slower metabolism is a normal age-related change but is not directly related to an increased susceptibility to peritonitis in older adults.
Choice B reason:
Older adults may have decreased immune function, which can increase their susceptibility to infections, including peritonitis.
Choice C reason:
Increased bone density is not directly related to an increased susceptibility to peritonitis in older adults.
Choice D reason:
Reduced gastrointestinal motility is a normal age-related change but is not directly related to an increased susceptibility to peritonitis in older adults.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.