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 D

Explanation

Choice A reason:

Having a history of allergies is not a risk factor for peritonitis.

Choice B reason:

Having a history of diabetes is not a risk factor for peritonitis.

Choice C reason:

Having a history of hypertension is not a risk factor for peritonitis.

Choice D reason:

A history of inflammatory bowel disease is a significant risk factor for peritonitis, especially if there are complications such as bowel perforation.

A. Anemia B. Infection C. Hypoalbuminemia D. Dehydration

Correct Answer is B

Explanation

Choice A reason:

Anemia refers to a low red blood cell count or hemoglobin level and is not directly related to an elevated white blood cell count.

Choice B reason:

An elevated white blood cell count is a common indicator of infection, such as in peritonitis, as the body's immune response is heightened to combat the inflammation and infection.

Choice C reason:

Hypoalbuminemia refers to low albumin levels in the blood and is not directly related to an elevated white blood cell count.

Choice D reason:

Dehydration may result in elevated blood cell counts due to hemoconcentration, but it is not the primary cause of an elevated white blood cell count in peritonitis.

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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 nurse is providing education to a group of clients about peritonitis and its risk factors. Which client is at the highest risk for developing peritonitis?

Correct Answer is D

Explanation

A client with peritonitis develops an elevated white blood cell count. The nurse recognizes this laboratory finding as indicative of:

Correct Answer is B

Explanation

A client with suspected peritonitis is undergoing abdominal imaging. The nurse prepares the client for which diagnostic imaging modality that can provide detailed images of the peritoneal organs and structures?

A nurse is caring for a client diagnosed with peritonitis. Which intervention is the highest priority in the management of this condition?

A nurse is caring for a client with peritonitis and anticipates the need for a paracentesis. What is the purpose of a paracentesis in this client?

A client is undergoing peritoneal dialysis. The nurse recognizes that this client is at an increased risk of developing peritonitis due to:

A client with a history of appendectomy develops peritonitis. The nurse anticipates which diagnostic test to confirm the diagnosis?

A nurse is providing education to a group of older adult clients about the risk factors for peritonitis. Which factor is most likely to increase the susceptibility to peritonitis in older adults?

A nurse is reviewing the laboratory results of a client suspected of having peritonitis. Which finding is most indicative of this condition?

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?