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 C
Explanation
Choice A rationale
Valerian is a herb that is commonly used for sleep disorders and anxiety. It is not typically used to treat diarrhea, irritable bowel syndrome (IBS), or ulcerative colitis.
Choice B rationale
Garlic is known for its antibacterial, antiviral, and antifungal properties. However, it is not commonly used to treat diarrhea, IBS, or ulcerative colitis.
Choice C rationale
Probiotics are live bacteria and yeasts that are good for your health, especially your digestive system. They are often used to treat problems in the stomach and intestines, including IBS and certain types of diarrhea.
Choice D rationale
Ginger root is commonly used to treat various types of stomach problems, including motion sickness, morning sickness, colic, upset stomach, gas, and more. However, it is not typically used to treat diarrhea, IBS, or ulcerative colitis.
Correct Answer is B
Explanation
Choice A rationale
Ecchymosis of the extremities is not a typical finding in a patient with an obstruction and inflammation of the common bile duct due to cholelithiasis.
Choice B rationale
Fatty stools, or steatorrhea, is a common symptom in patients with cholelithiasis. This is because the obstruction in the common bile duct can prevent the flow of bile, which is necessary for the digestion and absorption of fats.
Choice C rationale
Straw-colored urine is not typically associated with cholelithiasis. Dark urine can be a symptom of this condition, as the obstruction can cause bilirubin to leak into the blood and urine.
Choice D rationale
Tenderness in the left upper abdomen is not a typical symptom of cholelithiasis. Pain associated with this condition is usually located in the right upper quadrant or the middle upper part of the abdomen.
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