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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 B

Explanation

Choice A reason:

Anemia refers to a low red blood cell count or hemoglobin level and is not directly related to an elevated white blood cell count.

Choice B reason:

An elevated white blood cell count is a common indicator of infection, such as in peritonitis, as the body's immune response is heightened to combat the inflammation and infection.

Choice C reason:

Hypoalbuminemia refers to low albumin levels in the blood and is not directly related to an elevated white blood cell count.

Choice D reason:

Dehydration may result in elevated blood cell counts due to hemoconcentration, but it is not the primary cause of an elevated white blood cell count in peritonitis.

A. Paralytic ileus B. Gastroenteritis C. Appendicitis D. Constipation

Correct Answer is A

Explanation

Choice A reason:

Abdominal distension and decreased bowel sounds are classic signs of paralytic ileus, a common complication of peritonitis.

Choice B reason:

Gastroenteritis is inflammation of the gastrointestinal tract and may cause diarrhea and abdominal pain but is not related to the specific symptoms described.

Choice C reason:

Appendicitis is inflammation of the appendix and is not related to abdominal distension and decreased bowel sounds.

Choice D reason:

Constipation may cause abdominal distension, but decreased bowel sounds are not characteristic of constipation.

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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 client with peritonitis develops an elevated white blood cell count. The nurse recognizes this laboratory finding as indicative of:

Correct Answer is B

Explanation

A client with peritonitis is experiencing abdominal distension and decreased bowel sounds. The nurse suspects the presence of:

Correct Answer is A

Explanation

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

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A client with peritonitis is prescribed intravenous (IV) fluid resuscitation. The nurse understands that the primary goal of fluid resuscitation is to:

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