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 D
Explanation
Choice A reason:
Fever and diarrhea are not specific early signs of peritonitis.
Choice B reason:
Abdominal distension and flatulence may occur for various reasons after abdominal surgery, but they are not specific to peritonitis.
Choice C reason:
Nausea and vomiting can be caused by various post-operative factors and are not specific to peritonitis.
Choice D reason:
Sudden-onset severe abdominal pain and tenderness are classic early signs of peritonitis and indicate the need for immediate medical attention.
Correct Answer is D
Explanation
Choice A reason:
Monitoring blood glucose levels is important for clients with various conditions, but it is not directly related to the management of acute kidney injury (AKI) in peritonitis.
Choice B reason:
Administering pain medication is essential for managing the client's pain and providing comfort during treatment, but it is not directly related to the management of acute kidney injury.
Choice C reason:
Encouraging fluid intake is important for clients with peritonitis, but the specific recommendation of 3 liters per day is not universally applicable and may vary based on individual client needs and medical status.
Choice D reason:
Maintaining fluid and electrolyte balance is crucial in managing acute kidney injury in peritonitis. The nurse should closely monitor the client's fluid intake, output, and electrolyte levels and collaborate with the healthcare team to adjust the fluid therapy as needed.
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