A client with peritonitis is prescribed intravenous (IV) fluid resuscitation. The nurse understands that the primary goal of fluid resuscitation is to:

Correct electrolyte imbalances

Prevent circulatory collapse

Maintain adequate urine output

Restore fluid balance

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is A

Explanation

Choice A reason:

Intravenous antibiotics are the standard treatment for spontaneous bacterial peritonitis (SBP) to treat the bacterial infection.

Choice B reason:

A high-protein diet is not the primary intervention for SBP.

Choice C reason:

Oral rehydration solutions are used for rehydration in cases of dehydration but are not the primary treatment for SBP.

Choice D reason:

Bowel rest may be indicated for other conditions but is not the primary intervention for SBP.

A. Excessive alcohol consumption B. Sedentary lifestyle C. Gastric acid hypersecretion D. Frequent use of antacids

Correct Answer is C

Explanation

Choice A reason:

Excessive alcohol consumption can contribute to the development of gastric ulcers but is not directly related to an increased risk of peritonitis in clients with perforated gastric ulcers.

Choice B reason:

A sedentary lifestyle is not directly related to an increased risk of peritonitis in clients with perforated gastric ulcers.

Choice C reason:

Gastric acid hypersecretion can contribute to the formation of gastric ulcers and increase the risk of perforation, which can lead to peritonitis.

Choice D reason:

Frequent use of antacids may alleviate symptoms of gastric ulcers but is not directly related to an increased risk of peritonitis in clients with perforated gastric ulcers.

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A client with peritonitis is prescribed intravenous (IV) fluid resuscitation. The nurse understands that the primary goal of fluid resuscitation is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A nurse is caring for a client with a recent perforated gastric ulcer. The nurse identifies that the client is at risk of developing peritonitis due to:

Correct Answer is C

Explanation

A client with peritonitis is prescribed intravenous (IV) antibiotics. The nurse ensures to:

A nurse is caring for a client with peritonitis and is reviewing the client's medical history. Which condition places the client at an increased risk of developing peritonitis?

A client underwent abdominal surgery and is now at risk of developing peritonitis. The nurse teaches the client about the early signs and symptoms of peritonitis. What should the nurse include in the teaching?

A client with peritonitis is experiencing severe abdominal pain. The nurse recognizes that this pain may be exacerbated by which factor?

A nurse is assessing a client with suspected peritonitis. Which symptom should the nurse expect the client to report?

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

A nurse is caring for a client with peritonitis who developed sepsis. Which nursing intervention is the highest priority in managing this complication?

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: