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
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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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
Choice A reason:
Continuous gastric suction is not primarily intended to prevent aspiration pneumonia, although it may indirectly help reduce the risk of aspiration in some cases.
Choice B reason:
Reducing intra-abdominal pressure is not the primary purpose of continuous gastric suction, although it may have some effect on the overall abdominal pressure.
Choice C reason:
Continuous gastric suction is not primarily intended to manage pain and discomfort in the client with peritonitis, although it may help alleviate some symptoms.
Choice D reason:
Promoting bowel rest is the main purpose of continuous gastric suction in the management of peritonitis. By reducing the workload of the gastrointestinal tract, the inflamed peritoneum can heal and recover more effectively.
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