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:

An electrocardiogram (ECG) is used to assess the electrical activity of the heart, not the abdomen.

Choice B reason:

An abdominal X-ray provides a basic overview of the abdomen but may not offer detailed images of the peritoneal organs and structures.

Choice C reason:

Magnetic resonance imaging (MRI) can provide high-resolution images of the abdominal organs and structures, including the peritoneum, making it a valuable diagnostic tool for suspected peritonitis.

Choice D reason:

Ultrasonography can provide images of the abdominal organs, but it may not offer the level of detail provided by MRI in assessing peritonitis.

A. Abdominal compartment syndrome B. Respiratory distress syndrome C. Sepsis D. Gastrointestinal bleeding

Correct Answer is C

Explanation

Choice A reason:

Abdominal compartment syndrome may present with abdominal distension and firmness but is not directly associated with hypotension and tachycardia.

Choice B reason:

Respiratory distress syndrome may manifest with respiratory symptoms such as dyspnea and decreased oxygen saturation but is not directly associated with hypotension and tachycardia.

Choice C reason:

Sepsis is a systemic inflammatory response to infection and can cause hypotension and tachycardia as part of its clinical presentation.

Choice D reason:

Gastrointestinal bleeding may present with symptoms such as melena or hematemesis but is not directly associated with hypotension and tachycardia.

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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 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?

Correct Answer is C

Explanation

A client with peritonitis develops hypotension and tachycardia. The nurse recognizes these signs as possible indications of which complication?

Correct Answer is C

Explanation

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

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

A client with peritonitis is prescribed intravenous (IV) fluid resuscitation. The nurse understands that the primary goal of fluid resuscitation is to:

A client with cirrhosis is admitted to the hospital with suspected peritonitis. The nurse understands that cirrhosis is a significant risk factor for peritonitis due to:

A client with peritonitis is experiencing acute respiratory distress. Which intervention is the nurse's priority in managing this complication?

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?