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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 B

Explanation

Choice A reason:

Referred pain is pain that is felt in a different location from its source, and it is not directly associated with the sharp, sudden-onset pain described by the client.

Choice B reason:

Visceral pain arises from the internal organs and is often described as sharp and colicky. It worsens with movement and is a characteristic feature of peritonitis.

Choice C reason:

Neuropathic pain is caused by nerve damage and is not typically associated with peritonitis.

Choice D reason:

Radiating pain is pain that extends from its source to other areas, and it is not specifically described in the scenario.

A. Abdominal compartment syndrome B. Respiratory distress syndrome C. Sepsis D. Gastrointestinal bleeding

Correct Answer is C

Explanation

Choice A reason:

Abdominal compartment syndrome may present with abdominal distension and firmness but is not directly associated with hypotension and tachycardia.

Choice B reason:

Respiratory distress syndrome may manifest with respiratory symptoms such as dyspnea and decreased oxygen saturation but is not directly associated with hypotension and tachycardia.

Choice C reason:

Sepsis is a systemic inflammatory response to infection and can cause hypotension and tachycardia as part of its clinical presentation.

Choice D reason:

Gastrointestinal bleeding may present with symptoms such as melena or hematemesis but is not directly associated with hypotension and tachycardia.

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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 reports experiencing sharp, sudden-onset pain that worsens with movement. The nurse recognizes this type of pain as:

Correct Answer is B

Explanation

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

Correct Answer is C

Explanation

A client is diagnosed with spontaneous bacterial peritonitis (SBP). The nurse anticipates the need for which medical intervention?

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 acute kidney injury (AKI). Which nursing intervention is essential in the management of this complication?

A client with cirrhosis is admitted to the hospital with suspected peritonitis. The nurse understands that cirrhosis is a significant risk factor for peritonitis due to:

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?

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?

A nurse is caring for a client with peritonitis who is at risk of developing abdominal compartment syndrome. Which assessment finding should the nurse be most concerned about?

A client with peritonitis is experiencing acute respiratory distress. Which intervention is the nurse's priority in managing this complication?