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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 A

Explanation

Choice A reason:

Abdominal distension and decreased bowel sounds are classic signs of paralytic ileus, a common complication of peritonitis.

Choice B reason:

Gastroenteritis is inflammation of the gastrointestinal tract and may cause diarrhea and abdominal pain but is not related to the specific symptoms described.

Choice C reason:

Appendicitis is inflammation of the appendix and is not related to abdominal distension and decreased bowel sounds.

Choice D reason:

Constipation may cause abdominal distension, but decreased bowel sounds are not characteristic of constipation.

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 client with peritonitis is experiencing abdominal distension and decreased bowel sounds. The nurse suspects the presence of:

Correct Answer is A

Explanation

A client with a history of appendectomy develops peritonitis. The nurse anticipates which diagnostic test to confirm the diagnosis?

Correct Answer is C

Explanation

A client with peritonitis develops an elevated white blood cell count. The nurse recognizes this laboratory finding as indicative of:

A client with peritonitis develops a wound infection at the surgical site. Which nursing intervention is essential in preventing the spread of infection?

A nurse caring for a client with peritonitis observes the client assuming a fetal position and exhibiting restlessness. The nurse interprets these behaviors as indicative of:

A client is recovering from peritonitis and is being discharged from the hospital. The nurse provides discharge instructions and emphasizes the importance of:

A client with peritonitis is experiencing severe abdominal pain. The nurse assesses the client's abdomen and notes that it appears bloated and distended. The nurse recognizes this as a potential sign of:

A client with peritonitis is prescribed intravenous (IV) antibiotics. The nurse ensures to:

A client presents to the emergency department with severe abdominal pain, tenderness, and fever. The client reports a recent history of ruptured appendix. The nurse suspects the client may be experiencing:

A nurse is caring for a client with peritonitis who is at risk of developing abdominal compartment syndrome. Which assessment finding should the nurse be most concerned about?