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A client underwent abdominal surgery and is now at risk of developing peritonitis. The nurse teaches the client about the early signs and symptoms of peritonitis. What should the nurse include in the teaching?

Fever and diarrhea

Abdominal distension and flatulence

Nausea and vomiting

Sudden-onset severe abdominal pain and tenderness

Answer and Explanation

The Correct Answer is D

Choice A reason:

Fever and diarrhea are not specific early signs of peritonitis.

Choice B reason:

Abdominal distension and flatulence may occur for various reasons after abdominal surgery, but they are not specific to peritonitis.

Choice C reason:

Nausea and vomiting can be caused by various post-operative factors and are not specific to peritonitis.

Choice D reason:

Sudden-onset severe abdominal pain and tenderness are classic early signs of peritonitis and indicate the need for immediate medical attention.

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Correct Answer is C

Explanation

Choice A reason:

Antibiotics are used to treat infections, including peritonitis, and do not increase the risk of developing peritonitis.

Choice B reason:

Antacids are used to neutralize stomach acid and do not increase the risk of peritonitis.

Choice C reason:

NSAIDs can cause gastrointestinal irritation and increase the risk of ulcers and perforation, which can lead to peritonitis.

Choice D reason:

Oral contraceptives do not increase the risk of developing peritonitis.

A. Change the IV site every 24 hours B. Administer the antibiotics using an infusion pump C. Discontinue the antibiotics after 48 hours of improvement D. Administer the antibiotics through a peripheral IV catheter

Correct Answer is B

Explanation

Choice A reason:

Changing the IV site every 24 hours is not necessary for IV antibiotic administration unless there is an indication of infiltration or infection at the site.

Choice B reason:

Administering the antibiotics using an infusion pump is essential to ensure accurate and controlled delivery of the medication, particularly when the client's condition requires a precise dosing schedule.

Choice C reason:

Discontinuing the antibiotics after 48 hours of improvement may lead to a recurrence of the infection. Clients with peritonitis often require a full course of antibiotic therapy to ensure complete eradication of the infection.

Choice D reason:

Administering the antibiotics through a peripheral IV catheter may not be suitable for the client's condition, as peritonitis may necessitate the use of a central line for administration of IV medications.

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A client underwent abdominal surgery and is now at risk of developing peritonitis. The nurse teaches the client about the early signs and symptoms of peritonitis. What should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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

Correct Answer is B

Explanation

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

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