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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)

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason:

Abdominal distension and decreased bowel sounds are classic signs of paralytic ileus, a common complication of peritonitis.

Choice B reason:

Gastroenteritis is inflammation of the gastrointestinal tract and may cause diarrhea and abdominal pain but is not related to the specific symptoms described.

Choice C reason:

Appendicitis is inflammation of the appendix and is not related to abdominal distension and decreased bowel sounds.

Choice D reason:

Constipation may cause abdominal distension, but decreased bowel sounds are not characteristic of constipation.

A. Slower metabolism B. Decreased immune function C. Increased bone density D. Reduced gastrointestinal motility

Correct Answer is B

Explanation

Choice A reason:

Slower metabolism is a normal age-related change but is not directly related to an increased susceptibility to peritonitis in older adults.

Choice B reason:

Older adults may have decreased immune function, which can increase their susceptibility to infections, including peritonitis.

Choice C reason:

Increased bone density is not directly related to an increased susceptibility to peritonitis in older adults.

Choice D reason:

Reduced gastrointestinal motility is a normal age-related change but is not directly related to an increased susceptibility to peritonitis in older adults.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A nurse is providing education to a group of older adult clients about the risk factors for peritonitis. Which factor is most likely to increase the susceptibility to peritonitis in older adults?

Correct Answer is B

Explanation

A nurse is assessing a client suspected of having peritonitis. Which diagnostic test is most likely to be performed to confirm the diagnosis?

A client with peritonitis is receiving intravenous (IV) antibiotics. The nurse should monitor the client for which potential side effect of antibiotic therapy?

A client with peritonitis is experiencing severe abdominal pain. The nurse recognizes that this pain may be exacerbated by which factor?

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:

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

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

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 is admitted to the hospital with peritonitis. The nurse is conducting an assessment and asks the client about their recent medical history. Which risk factor is most likely associated with the development of peritonitis in this client?