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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason:

Lying flat in bed may provide some comfort for the client and is not likely to exacerbate the abdominal pain associated with peritonitis.

Choice B reason:

Using a heating pad on the abdomen may provide some relief for the client and is not likely to exacerbate the abdominal pain associated with peritonitis.

Choice C reason:

Deep breathing and coughing exercises may worsen the client's abdominal pain due to the stretching and movement of the peritoneum during these activities.

Choice D reason:

Administering prescribed analgesics is essential for managing the client's pain and providing comfort during the treatment of peritonitis.

A. Administering oral antibiotics B. Performing sterile dressing changes C. Limiting visitors to the client's room D. Providing pain medication as needed

Correct Answer is B

Explanation

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.

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A client with peritonitis experiences abdominal distension and decreased bowel sounds on auscultation. The nurse recognizes these findings as suggestive of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

A client with peritonitis develops a wound infection at the surgical site. Which nursing intervention is essential in preventing the spread of infection?

Correct Answer is B

Explanation

A client with peritonitis is at risk of developing hypovolemic shock. Which assessment finding should the nurse be most concerned about?

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

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

A nurse is preparing a care plan for a client with peritonitis. Which nursing intervention is essential to include in the plan to address potential complications of this condition?

A nurse is caring for a client with a recent perforated gastric ulcer. The nurse identifies that the client is at risk of developing peritonitis due to:

A nurse is providing care to a client with peritonitis and is reviewing the client's medication history. Which medication places the client at an increased risk of developing peritonitis?

A client with peritonitis is undergoing diagnostic imaging. The nurse explains to the client that the purpose of this imaging is to: