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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?

Increased urine output

Abdominal distension and firmness

Normal respiratory rate

Mild incisional pain

Answer and Explanation

The Correct Answer is B

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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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. Change the IV site every 24 hours B. Administer the antibiotics using an infusion pump C. Discontinue the antibiotics after 48 hours of improvement D. Administer the antibiotics through a peripheral IV catheter

Correct Answer is B

Explanation

Choice A reason:

Changing the IV site every 24 hours is not necessary for IV antibiotic administration unless there is an indication of infiltration or infection at the site.

Choice B reason:

Administering the antibiotics using an infusion pump is essential to ensure accurate and controlled delivery of the medication, particularly when the client's condition requires a precise dosing schedule.

Choice C reason:

Discontinuing the antibiotics after 48 hours of improvement may lead to a recurrence of the infection. Clients with peritonitis often require a full course of antibiotic therapy to ensure complete eradication of the infection.

Choice D reason:

Administering the antibiotics through a peripheral IV catheter may not be suitable for the client's condition, as peritonitis may necessitate the use of a central line for administration of IV medications.

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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?

Nursing Test Bank

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 client with peritonitis is prescribed intravenous (IV) antibiotics. The nurse ensures to:

Correct Answer is B

Explanation

A client with peritonitis develops acute kidney injury (AKI). Which nursing intervention is essential in the management of this complication?

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 develops hypotension and tachycardia. The nurse recognizes these signs as possible indications of which complication?

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:

A nurse is assessing a client with suspected peritonitis. Which clinical finding is a hallmark sign of this condition?

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 with peritonitis is undergoing diagnostic imaging. The nurse explains to the client that the purpose of this imaging is to: