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:
Changing the IV site every 24 hours is not necessary for IV antibiotic administration unless there is an indication of infiltration or infection at the site.
Choice B reason:
Administering the antibiotics using an infusion pump is essential to ensure accurate and controlled delivery of the medication, particularly when the client's condition requires a precise dosing schedule.
Choice C reason:
Discontinuing the antibiotics after 48 hours of improvement may lead to a recurrence of the infection. Clients with peritonitis often require a full course of antibiotic therapy to ensure complete eradication of the infection.
Choice D reason:
Administering the antibiotics through a peripheral IV catheter may not be suitable for the client's condition, as peritonitis may necessitate the use of a central line for administration of IV medications.
Correct Answer is B
Explanation
Choice A reason:
Inserting a catheter into the bladder to collect urine is not related to diagnostic paracentesis for peritonitis.
Choice B reason:
Diagnostic paracentesis involves removing fluid from the peritoneal cavity for analysis, helping to identify the presence of infection or inflammation in the peritoneum.
Choice C reason:
Injecting contrast dye into the bloodstream for imaging is not a part of the diagnostic paracentesis procedure.
Choice D reason:
Taking a tissue sample from the peritoneal lining is not the purpose of diagnostic paracentesis.
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