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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale
After a Roux-en-Y surgical procedure, patients are typically put on a liquid-only diet for the first week or two after surgery. Over the next month, they are able to add soft food and eventually regular food back into their diet. Given that the patient is only one day postoperative, the consumption of solid foods like strawberry yogurt could potentially lead to

complications such as dumping syndrome, which is a group of symptoms that includes vomiting, nausea, and dizziness. It occurs when food moves from your stomach into your small intestine too quickly.
Choice B rationale
Chicken broth is a clear liquid and is generally considered safe for a patient who is one day postoperative from a Roux-en-Y surgical procedure. It is easily digestible and does not put undue stress on the digestive system.
Choice C rationale
Apple juice is a clear liquid and is generally considered safe for a patient who is one day postoperative from a Roux-en-Y surgical procedure. It is easily digestible and does not put undue stress on the digestive system.
Choice D rationale
Iced tea is a clear liquid and is generally considered safe for a patient who is one day postoperative from a Roux-en-Y surgical procedure. It is easily digestible and does not put undue stress on the digestive system.

A. Acid indigestion B. Headache C. Diarrhea D. Nausea

Correct Answer is A

Explanation

Choice A rationale

Omeprazole is a proton pump inhibitor that reduces gastric acid secretion. It is used to treat conditions such as duodenal and gastric ulcers, prolonged dyspepsia, gastroesophageal reflux disease, and erosive esophagitis. Therefore, relief from acid indigestion would indicate that the medication is effective.
Choice B rationale
While headaches can be a side effect of omeprazole, relief from headaches is not a primary indicator of the medication’s effectiveness in treating conditions related to gastric acid secretion.
Choice C rationale
Diarrhea can be a side effect of omeprazole, but relief from diarrhea does not directly indicate the effectiveness of omeprazole in reducing gastric acid secretion.
Choice D rationale
Nausea can be a symptom of the conditions that omeprazole treats, but relief from nausea alone does not directly indicate the effectiveness of omeprazole in reducing gastric acid secretion.

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The nurse is reviewing the medical record of a patient with peritonitis. Which prescription should prompt the nurse to seek clarification from the gastroenterologist?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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The nurse is reviewing the medical record of a patient with peritonitis.
Which prescription should prompt the nurse to seek clarification from the gastroenterologist?