A client with peritonitis is prescribed a nasogastric (NG) tube for decompression. The nurse understands that the primary purpose of the NG tube is to:

Prevent aspiration pneumonia

Relieve abdominal distension

Monitor gastric pH levels

Administer enteral nutrition

Answer and Explanation

The Correct Answer is B

Choice A reason:

Preventing aspiration pneumonia is one of the benefits of an NG tube, but the primary purpose in peritonitis is to relieve abdominal distension caused by fluid and gas accumulation.

Choice B reason:

Relieving abdominal distension is the primary purpose of an NG tube in clients with peritonitis, as it helps remove fluid and gas from the stomach and intestines, reducing pressure on the peritoneum.

Choice C reason:

Monitoring gastric pH levels may be done with an NG tube in certain situations, but it is not the primary purpose in the context of peritonitis.

Choice D reason:

Administering enteral nutrition may be a secondary purpose of an NG tube in some cases, but it is not the primary goal in clients with peritonitis.

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Correct Answer is A

Explanation

Choice A reason:

Peritoneal dialysis involves inserting a catheter into the peritoneal cavity, which can increase the risk of infection at the insertion site and lead to peritonitis.

Choice B reason:

High blood pressure is not directly related to an increased risk of peritonitis in clients undergoing peritoneal dialysis.

Choice C reason:

Elevated cholesterol levels are not directly related to an increased risk of peritonitis in clients undergoing peritoneal dialysis.

Choice D reason:

An allergic reaction to the dialysis solution is a possibility but is not the primary reason for an increased risk of peritonitis in clients undergoing peritoneal dialysis.

A. Anxiety B. Fatigue C. Pain D. Respiratory distress

Correct Answer is C

Explanation

Choice A reason:

Anxiety may lead to restlessness, but the assumption of a fetal position suggests a pain response, which is a common finding in peritonitis.

Choice B reason:

Fatigue may lead to restlessness, but it does not explain the assumption of a fetal position, which is a pain-coping mechanism.

Choice C reason:

The client assuming a fetal position and exhibiting restlessness are indicative of pain, which is a common symptom in peritonitis.

Choice D reason:

Respiratory distress is not directly related to the findings described in the scenario.

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A client with peritonitis is prescribed a nasogastric (NG) tube for decompression. The nurse understands that the primary purpose of the NG tube is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is undergoing peritoneal dialysis. The nurse recognizes that this client is at an increased risk of developing peritonitis due to:

Correct Answer is A

Explanation

A nurse caring for a client with peritonitis observes the client assuming a fetal position and exhibiting restlessness. The nurse interprets these behaviors as indicative of:

Correct Answer is C

Explanation

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

A nurse is caring for a client with peritonitis and observes a rigid, board-like abdomen upon palpation. The nurse recognizes this finding as:

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 a history of appendectomy develops peritonitis. The nurse anticipates which diagnostic test to confirm the diagnosis?

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 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:

A client with peritonitis is undergoing diagnostic imaging. The nurse explains to the client that the purpose of this imaging is to:

A nurse is assessing a client with suspected peritonitis. Which clinical finding is a hallmark sign of this condition?