A client with peritonitis is experiencing severe abdominal pain. The nurse assesses the client's abdomen and notes that it appears bloated and distended. The nurse recognizes this as a potential sign of:
Ascites
Intestinal obstruction
Appendicitis
Pancreatitis
The Correct Answer is B
Choice A reason:
Ascites refers to the accumulation of fluid in the peritoneal cavity and does not necessarily cause bloating and distension of the abdomen in the context of peritonitis.
Choice B reason:
Intestinal obstruction can occur in peritonitis when inflammation or infection causes the intestines to become blocked, leading to bloating and distension of the abdomen.
Choice C reason:
Appendicitis is inflammation of the appendix and may cause pain, but it is not associated with generalized bloating and distension of the abdomen.
Choice D reason:
Pancreatitis is inflammation of the pancreas and may cause abdominal pain, but it is not associated with generalized bloating and distension of the abdomen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Correcting electrolyte imbalances is important in fluid resuscitation, but the primary goal is to prevent circulatory collapse and restore hemodynamic stability.
Choice B reason:
The primary goal of fluid resuscitation in peritonitis is to prevent circulatory collapse and maintain adequate blood pressure and perfusion to vital organs.
Choice C reason:
Maintaining adequate urine output is one of the indicators of effective fluid resuscitation, but it is not the primary goal in this context.
Choice D reason:
Restoring fluid balance is a goal of fluid resuscitation, but the primary focus is on preventing circulatory collapse and ensuring adequate tissue perfusion.
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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