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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:

Cholecystitis

Gastritis

Peritonitis

Diverticulitis

Answer and Explanation

The Correct Answer is C

Choice A reason:

Cholecystitis is inflammation of the gallbladder, which is not related to a ruptured appendix.

Choice B reason:

Gastritis is inflammation of the stomach lining, which may cause abdominal pain but is not related to a ruptured appendix.

Choice C reason:

Peritonitis is inflammation of the peritoneum, the membrane lining the abdominal cavity. It can occur as a complication of a ruptured appendix and presents with severe abdominal pain, tenderness, and fever.

Choice D reason:

Diverticulitis is inflammation of the diverticula (small pouches) in the colon and is not related to a ruptured appendix.

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Correct Answer is A

Explanation

Choice A reason:

Intravenous antibiotics are the standard treatment for spontaneous bacterial peritonitis (SBP) to treat the bacterial infection.

Choice B reason:

A high-protein diet is not the primary intervention for SBP.

Choice C reason:

Oral rehydration solutions are used for rehydration in cases of dehydration but are not the primary treatment for SBP.

Choice D reason:

Bowel rest may be indicated for other conditions but is not the primary intervention for SBP.

A. Severe headache and neck stiffness B. Rapid and shallow breathing C. Abdominal rigidity and tenderness D. Hyperactive bowel sounds

Correct Answer is C

Explanation

Choice A reason:

Severe headache and neck stiffness are signs of meningitis and are not directly related to peritonitis.

Choice B reason:

Rapid and shallow breathing may occur with other respiratory conditions but is not a hallmark sign of peritonitis.

Choice C reason:

Abdominal rigidity and tenderness are hallmark signs of peritonitis and are caused by the inflammation of the peritoneum.

Choice D reason:

Hyperactive bowel sounds may occur with gastrointestinal disorders but are not specific to peritonitis.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with spontaneous bacterial peritonitis (SBP). The nurse anticipates the need for which medical intervention?

Correct Answer is A

Explanation

A nurse is assessing a client with suspected peritonitis. Which clinical finding is a hallmark sign of this condition?

Correct Answer is C

Explanation

A nurse is caring for a client with a recent perforated gastric ulcer. The nurse identifies that the client is at risk of developing peritonitis due to:

A client with peritonitis develops hypotension and tachycardia. The nurse recognizes these signs as possible indications of which complication?

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

A nurse is reviewing the laboratory results of a client suspected of having peritonitis. Which finding is most indicative of this condition?

A nurse is providing care to a client with peritonitis and is reviewing the client's medication history. Which medication places the client at an increased risk of developing peritonitis?

A nurse is caring for a client with peritonitis who developed sepsis. Which nursing intervention is the highest priority in managing this complication?

A client with suspected peritonitis is undergoing abdominal imaging. The nurse prepares the client for which diagnostic imaging modality that can provide detailed images of the peritoneal organs and structures?

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?