The nurse is performing an assessment on a client who has been diagnosed with severe peritonitis. Which finding would the nurse expect?
Active bowel sounds.
Leukocytosis.
Pain report of "0" on a 0-10 scale.
Undistended abdomen.
The Correct Answer is B
Choice A rationale
Active bowel sounds are indicative of normal or increased gastrointestinal motility, which is not expected in severe peritonitis. Peritonitis typically leads to decreased or absent bowel sounds due to inflammation and paralysis of the intestines.
Choice B rationale
Leukocytosis, an elevated white blood cell count, is a common finding in severe peritonitis. It indicates an immune response to infection or inflammation within the abdominal cavity.
Choice C rationale
A pain report of "0" on a 0-10 scale is highly unlikely in severe peritonitis. This condition causes significant abdominal pain due to widespread inflammation of the peritoneum.
Choice D rationale
An undistended abdomen is not expected in severe peritonitis. The condition often results in abdominal distension due to fluid accumulation, inflammation, and decreased bowel motility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Active bowel sounds are indicative of normal or increased gastrointestinal motility, which is not expected in severe peritonitis. Peritonitis typically leads to decreased or absent bowel sounds due to inflammation and paralysis of the intestines.
Choice B rationale
Leukocytosis, an elevated white blood cell count, is a common finding in severe peritonitis. It indicates an immune response to infection or inflammation within the abdominal cavity.
Choice C rationale
A pain report of "0" on a 0-10 scale is highly unlikely in severe peritonitis. This condition causes significant abdominal pain due to widespread inflammation of the peritoneum.
Choice D rationale
An undistended abdomen is not expected in severe peritonitis. The condition often results in abdominal distension due to fluid accumulation, inflammation, and decreased bowel motility.
Correct Answer is ["25"]
Explanation
Calculate the total volume per hour. 100 mL/hour Step 2: Determine the drip factor in drops per minute. (100 mL ÷ 60 minutes) × 15 gtt/mL = 1.6667 mL/minute × 15 gtt/mL = 25 gtt/min The final infusion rate is 25 drops per minute.
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.