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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Paracentesis is not used to remove excess air from the peritoneal cavity.
Choice B reason:
Paracentesis is a procedure used to drain infected fluid or pus from the peritoneal cavity in cases of peritonitis.
Choice C reason:
Visualizing the abdominal organs using a scope is not the purpose of a paracentesis.
Choice D reason:
Monitoring intra-abdominal pressure is not the purpose of a paracentesis.
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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