A client with peritonitis experiences abdominal distension and decreased bowel sounds on auscultation. The nurse recognizes these findings as suggestive of:
Hypovolemic shock
Paralytic ileus
Intestinal obstruction
Urinary retention
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Hypertension is not a common side effect of IV antibiotic therapy.
Choice B reason:
Hypoglycemia is not a common side effect of IV antibiotic therapy.
Choice C reason:
An allergic reaction is a potential side effect of antibiotic therapy and can range from mild skin rash to life-threatening anaphylaxis.
Choice D reason:
Bradycardia is not a common side effect of IV antibiotic therapy.
Correct Answer is C
Explanation
Choice A reason:
Maintaining a low-fiber diet is not a standard recommendation for clients recovering from peritonitis.
Choice B reason:
Avoiding physical activity for two weeks is not necessary for all clients recovering from peritonitis, and individualized recommendations should be provided based on the client's condition and physician's instructions.
Choice C reason:
Taking prescribed antibiotics as directed is essential for clients recovering from peritonitis to complete the course of treatment and ensure the infection is fully eradicated.
Choice D reason:
Using a heating pad for abdominal pain relief may not be recommended for all clients recovering from peritonitis, as it may exacerbate inflammation or lead to complications. Individualized pain management strategies should be discussed with the healthcare provider.
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