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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 D

Explanation

Choice A reason:

Increased blood pressure is not characteristic of septic shock. Septic shock is associated with low blood pressure.

Choice B reason:

Bradycardia is not a typical sign of septic shock. Tachycardia is more common in septic shock.

Choice C reason:

Warm, flushed skin is not typical in septic shock. Septic shock is associated with cold, clammy skin.

Choice D reason:

Rapid, shallow breathing is a common early sign of septic shock and indicates the body's attempt to compensate for the decreased cardiac output.

A. Chest pain B. Severe headache C. Abdominal pain and tenderness D. Shortness of breath

Correct Answer is C

Explanation

Choice A reason:

Chest pain is not a typical symptom of peritonitis, as the condition primarily affects the abdomen.

Choice B reason:

A severe headache is not a characteristic symptom of peritonitis.

Choice C reason:

Abdominal pain and tenderness are hallmark symptoms of peritonitis, resulting from inflammation of the peritoneum lining the abdominal cavity.

Choice D reason:

Shortness of breath is not a common symptom of peritonitis unless there is an associated respiratory complication.

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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 with peritonitis is at risk of developing septic shock. Which clinical manifestation should the nurse closely monitor to detect early signs of septic shock?

Correct Answer is D

Explanation

A nurse is assessing a client with suspected peritonitis. Which symptom should the nurse expect the client to report?

Correct Answer is C

Explanation

A client with peritonitis is undergoing diagnostic imaging. The nurse explains to the client that the purpose of this imaging is to:

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

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

A client with peritonitis develops a high fever, chills, and profuse sweating. The nurse recognizes these signs as indicative of:

A client with peritonitis is prescribed intravenous (IV) fluid resuscitation. The nurse understands that the primary goal of fluid resuscitation is to:

A client with peritonitis experiences abdominal distension and decreased bowel sounds on auscultation. The nurse recognizes these findings as suggestive of:

A nurse is caring for a client diagnosed with peritonitis. Which intervention is the highest priority in the management of this condition?