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 C
Explanation
Choice A reason:
Excessive alcohol consumption can contribute to the development of gastric ulcers but is not directly related to an increased risk of peritonitis in clients with perforated gastric ulcers.
Choice B reason:
A sedentary lifestyle is not directly related to an increased risk of peritonitis in clients with perforated gastric ulcers.
Choice C reason:
Gastric acid hypersecretion can contribute to the formation of gastric ulcers and increase the risk of perforation, which can lead to peritonitis.
Choice D reason:
Frequent use of antacids may alleviate symptoms of gastric ulcers but is not directly related to an increased risk of peritonitis in clients with perforated gastric ulcers.
Correct Answer is B
Explanation
Choice A reason:
Hypovolemic shock involves severe blood loss or fluid depletion and may present with signs of hypotension and tachycardia but is not directly related to the findings described.
Choice B reason:
Paralytic ileus is a lack of bowel motility that causes abdominal distension and decreased bowel sounds, and it is a common complication of peritonitis.
Choice C reason:
Intestinal obstruction involves a blockage of the intestines and may present with abdominal distension and altered bowel sounds, but it is not directly related to peritonitis in this context.
Choice D reason:
Urinary retention involves the inability to empty the bladder fully and is not related to the findings described in the scenario.
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