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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)

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A reason:

Intravenous antibiotics are the standard treatment for spontaneous bacterial peritonitis (SBP) to treat the bacterial infection.

Choice B reason:

A high-protein diet is not the primary intervention for SBP.

Choice C reason:

Oral rehydration solutions are used for rehydration in cases of dehydration but are not the primary treatment for SBP.

Choice D reason:

Bowel rest may be indicated for other conditions but is not the primary intervention for SBP.

A. Prevent aspiration pneumonia B. Relieve abdominal distension C. Monitor gastric pH levels D. Administer enteral nutrition

Correct Answer is B

Explanation

Choice A reason:

Preventing aspiration pneumonia is one of the benefits of an NG tube, but the primary purpose in peritonitis is to relieve abdominal distension caused by fluid and gas accumulation.

Choice B reason:

Relieving abdominal distension is the primary purpose of an NG tube in clients with peritonitis, as it helps remove fluid and gas from the stomach and intestines, reducing pressure on the peritoneum.

Choice C reason:

Monitoring gastric pH levels may be done with an NG tube in certain situations, but it is not the primary purpose in the context of peritonitis.

Choice D reason:

Administering enteral nutrition may be a secondary purpose of an NG tube in some cases, but it is not the primary goal in clients with peritonitis.

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A nurse is reviewing the laboratory results of a client suspected of having peritonitis. Which finding is most indicative of this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with spontaneous bacterial peritonitis (SBP). The nurse anticipates the need for which medical intervention?

Correct Answer is A

Explanation

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:

Correct Answer is B

Explanation

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

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

A client with cirrhosis is admitted to the hospital with suspected peritonitis. The nurse understands that cirrhosis is a significant risk factor for peritonitis due to:

A client with peritonitis is experiencing acute respiratory distress. Which intervention is the nurse's priority in managing this complication?

A client is recovering from peritonitis and is being discharged from the hospital. The nurse provides discharge instructions and emphasizes the importance of:

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 nurse is assessing a client suspected of having peritonitis. Which diagnostic test is most likely to be performed to confirm the diagnosis?

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