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A client is admitted to the hospital with peritonitis. The nurse is conducting an assessment and asks the client about their recent medical history. Which risk factor is most likely associated with the development of peritonitis in this client?

Recent travel to a tropical region

History of asthma

Prior abdominal surgery

Vegetarian diet

Answer and Explanation

The Correct Answer is C

Choice A reason:

Recent travel to a tropical region is not a risk factor for peritonitis.

Choice B reason:

A history of asthma is not a risk factor for peritonitis.

Choice C reason:

Prior abdominal surgery is a significant risk factor for peritonitis because it can lead to perforation of the gastrointestinal tract and the spread of bacteria into the peritoneal cavity.

Choice D reason:

A vegetarian diet is not a risk factor for peritonitis.

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Correct Answer is D

Explanation

Choice A reason:

Rebound tenderness refers to increased pain upon release of pressure during palpation and is not related to the finding of a rigid, board-like abdomen.

Choice B reason:

Paralytic ileus refers to a condition in which the intestines stop functioning, causing a lack of bowel sounds and distension, but it is not directly related to the rigid abdomen finding.

Choice C reason:

Abdominal compartment syndrome may cause abdominal distension and increased intra-abdominal pressure, but it does not necessarily result in a rigid, board-like abdomen.

Choice D reason:

The finding of a rigid, board-like abdomen upon palpation is known as guarding, which is a protective response of the abdominal muscles in peritonitis to minimize movement and protect the inflamed peritoneum.

A. Chest X-ray B. Electrocardiogram (ECG) C. Abdominal ultrasound D. Complete blood count (CBC)

Correct Answer is C

Explanation

Choice A reason:

A chest X-ray is not the primary diagnostic test for peritonitis.

Choice B reason:

An ECG is used to assess cardiac function and is not specific to peritonitis.

Choice C reason:

An abdominal ultrasound is commonly used to diagnose peritonitis and can help visualize inflammation or fluid in the peritoneal cavity.

Choice D reason:

A CBC may show elevated white blood cell count, which is an indication of infection, but it is not a confirmatory test for peritonitis.

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A client is admitted to the hospital with peritonitis. The nurse is conducting an assessment and asks the client about their recent medical history. Which risk factor is most likely associated with the development of peritonitis in this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with peritonitis and observes a rigid, board-like abdomen upon palpation. The nurse recognizes this finding as:

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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