A client with peritonitis develops a wound infection at the surgical site. Which nursing intervention is essential in preventing the spread of infection?
Administering oral antibiotics
Performing sterile dressing changes
Limiting visitors to the client's room
Providing pain medication as needed
The Correct Answer is B
Choice A reason:
Administering oral antibiotics may be necessary for treating the wound infection, but it does not directly prevent the spread of infection.
Choice B reason:
Performing sterile dressing changes is essential in preventing the spread of infection and promoting wound healing.
Choice C reason:
Limiting visitors to the client's room may help reduce the risk of introducing new pathogens, but it is not the primary intervention for preventing wound infection.
Choice D reason:
Providing pain medication as needed is important for the client's comfort but does not directly prevent the spread of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Paracentesis is not used to remove excess air from the peritoneal cavity.
Choice B reason:
Paracentesis is a procedure used to drain infected fluid or pus from the peritoneal cavity in cases of peritonitis.
Choice C reason:
Visualizing the abdominal organs using a scope is not the purpose of a paracentesis.
Choice D reason:
Monitoring intra-abdominal pressure is not the purpose of a paracentesis.
Correct Answer is C
Explanation
Choice A reason:
Anxiety may lead to restlessness, but the assumption of a fetal position suggests a pain response, which is a common finding in peritonitis.
Choice B reason:
Fatigue may lead to restlessness, but it does not explain the assumption of a fetal position, which is a pain-coping mechanism.
Choice C reason:
The client assuming a fetal position and exhibiting restlessness are indicative of pain, which is a common symptom in peritonitis.
Choice D reason:
Respiratory distress is not directly related to the findings described in the scenario.
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