A nurse is reviewing the laboratory results of a client suspected of having peritonitis. Which finding is most indicative of this condition?
Elevated serum creatinine levels
Elevated amylase and lipase levels
Elevated blood glucose levels
Elevated white blood cell count (WBC)
The Correct Answer is D
Choice A reason:
Elevated serum creatinine levels are associated with kidney function and are not specific to peritonitis.
Choice B reason:
Elevated amylase and lipase levels are indicative of pancreatitis and are not directly related to peritonitis.
Choice C reason:
Elevated blood glucose levels may be indicative of diabetes or stress-related hyperglycemia but are not specific to peritonitis.
Choice D reason:
An elevated white blood cell count (WBC) is a common finding in peritonitis, indicating an inflammatory response and possible infection in the peritoneal cavity.
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Related Questions
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.
Correct Answer is C
Explanation
Choice A reason:
Recent travel to a tropical region is not a risk factor for peritonitis.
Choice B reason:
A history of asthma is not a risk factor for peritonitis.
Choice C reason:
Prior abdominal surgery is a significant risk factor for peritonitis because it can lead to perforation of the gastrointestinal tract and the spread of bacteria into the peritoneal cavity.
Choice D reason:
A vegetarian diet is not a risk factor for peritonitis.
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