A client with a history of appendectomy develops peritonitis. The nurse anticipates which diagnostic test to confirm the diagnosis?
Chest X-ray
Electrocardiogram (ECG)
Abdominal ultrasound
Complete blood count (CBC)
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Preventing aspiration pneumonia is one of the benefits of an NG tube, but the primary purpose in peritonitis is to relieve abdominal distension caused by fluid and gas accumulation.
Choice B reason:
Relieving abdominal distension is the primary purpose of an NG tube in clients with peritonitis, as it helps remove fluid and gas from the stomach and intestines, reducing pressure on the peritoneum.
Choice C reason:
Monitoring gastric pH levels may be done with an NG tube in certain situations, but it is not the primary purpose in the context of peritonitis.
Choice D reason:
Administering enteral nutrition may be a secondary purpose of an NG tube in some cases, but it is not the primary goal in clients with peritonitis.
Correct Answer is B
Explanation
Choice A reason:
Correcting electrolyte imbalances is important in fluid resuscitation, but the primary goal is to prevent circulatory collapse and restore hemodynamic stability.
Choice B reason:
The primary goal of fluid resuscitation in peritonitis is to prevent circulatory collapse and maintain adequate blood pressure and perfusion to vital organs.
Choice C reason:
Maintaining adequate urine output is one of the indicators of effective fluid resuscitation, but it is not the primary goal in this context.
Choice D reason:
Restoring fluid balance is a goal of fluid resuscitation, but the primary focus is on preventing circulatory collapse and ensuring adequate tissue perfusion.
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