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 B

Explanation

Choice A reason:

Hypothyroidism is not a risk factor for peritonitis.

Choice B reason:

Chronic kidney disease can weaken the immune system and make the client more susceptible to infections such as peritonitis.

Choice C reason:

Migraine headaches are not a risk factor for peritonitis.

Choice D reason:

GERD is not a risk factor for peritonitis.

A. Lying flat in bed B. Using a heating pad on the abdomen C. Deep breathing and coughing D. Administering prescribed analgesics

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.

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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 caring for a client with peritonitis and is reviewing the client's medical history. Which condition places the client at an increased risk of developing peritonitis?

Correct Answer is B

Explanation

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 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:

A client is recovering from peritonitis and is being discharged from the hospital. The nurse provides discharge instructions and emphasizes the importance of:

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 develops acute kidney injury (AKI). Which nursing intervention is essential in the management of this complication?

A nurse is assessing a client with suspected peritonitis. Which symptom should the nurse expect the client to report?

A client with peritonitis is at risk of developing septic shock. Which clinical manifestation should the nurse closely monitor to detect early signs of septic shock?

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