A client with peritonitis is experiencing abdominal distension and decreased bowel sounds. The nurse suspects the presence of:

Paralytic ileus

Gastroenteritis

Appendicitis

Constipation

Answer and Explanation

The Correct Answer is A

Choice A reason:

Abdominal distension and decreased bowel sounds are classic signs of paralytic ileus, a common complication of peritonitis.

Choice B reason:

Gastroenteritis is inflammation of the gastrointestinal tract and may cause diarrhea and abdominal pain but is not related to the specific symptoms described.

Choice C reason:

Appendicitis is inflammation of the appendix and is not related to abdominal distension and decreased bowel sounds.

Choice D reason:

Constipation may cause abdominal distension, but decreased bowel sounds are not characteristic of constipation.

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Correct Answer is C

Explanation

Choice A reason:

Cholecystitis is inflammation of the gallbladder, which is not related to a ruptured appendix.

Choice B reason:

Gastritis is inflammation of the stomach lining, which may cause abdominal pain but is not related to a ruptured appendix.

Choice C reason:

Peritonitis is inflammation of the peritoneum, the membrane lining the abdominal cavity. It can occur as a complication of a ruptured appendix and presents with severe abdominal pain, tenderness, and fever.

Choice D reason:

Diverticulitis is inflammation of the diverticula (small pouches) in the colon and is not related to a ruptured appendix.

A. Excessive alcohol consumption B. Sedentary lifestyle C. Gastric acid hypersecretion D. Frequent use of antacids

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.

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A client with peritonitis is experiencing abdominal distension and decreased bowel sounds. The nurse suspects the presence of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client presents to the emergency department with severe abdominal pain, tenderness, and fever. The client reports a recent history of ruptured appendix. The nurse suspects the client may be experiencing:

Correct Answer is C

Explanation

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:

Correct Answer is C

Explanation

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

A client with peritonitis develops a high fever, chills, and profuse sweating. The nurse recognizes these signs as indicative of:

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

A client with peritonitis is prescribed a nasogastric (NG) tube for decompression. The nurse understands that the primary purpose of the NG tube is to:

A nurse is assessing a client with suspected peritonitis. Which clinical finding is a hallmark sign of this condition?

A client with peritonitis is prescribed intravenous (IV) opioids for pain management. The nurse closely monitors the client for which potential side effect?

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 suspected peritonitis is scheduled for diagnostic paracentesis. The nurse explains to the client that this procedure involves: