The nurse is reviewing the medical record of a patient with peritonitis.
Which prescription should prompt the nurse to seek clarification from the gastroenterologist?
Clear liquid diet.
Nasogastric tube insertion.
Intravenous antibiotics.
Strict intake and output monitoring.
The Correct Answer is A
Choice A rationale
A clear liquid diet may not provide adequate nutrition for a patient with peritonitis. Peritonitis, an inflammation of the peritoneum, can be caused by infection, including from bacteria or fungi, or by a rupture in the abdomen. It’s a serious condition that requires immediate treatment, often including antibiotics and surgery.
Choice B rationale
Nasogastric tube insertion can be a part of the management for peritonitis. It can help decompress the stomach and relieve symptoms such as nausea and vomiting.
Choice C rationale
Intravenous antibiotics are typically a part of the treatment plan for peritonitis, as the condition is often caused by an infection.
Choice D rationale
Strict intake and output monitoring is important in the management of peritonitis. It helps assess the patient’s fluid balance and response to treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["300"]
Explanation
Step 1: Determine the total time for the infusion in hours. The infusion started at 0330 and should end by 0600. So, the total time for the infusion is 0600 - 0330 = 2.5 hours.
Step 2: Calculate the total volume of IV fluid that should infuse by 0600. The IV fluids are infusing at 120 mL/hr. So, the total volume of IV fluid that should infuse by 0600 is 120 mL/hr
× 2.5 hr = 300 mL. .
Correct Answer is A
Explanation
Choice A rationale
The most common position for administering an enema is the left lateral position, where the patient lies on their left side with their right leg flexed toward their chest. This position allows for the best flow of the enema solution by gravity along the natural curves of the sigmoid colon and rectum.
Choice B rationale
Position B is not typically recommended for enema administration.
Choice C rationale
Position C is not typically recommended for enema administration.
Choice D rationale
Position D is not typically recommended for enema administration
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