A client with peritonitis presents with an elevated temperature, rapid heart rate, and shallow breathing. The nurse recognizes these signs as indicative of:

Hypothermia

Hypertension

Hyperventilation

Systemic inflammatory response

Answer and Explanation

The Correct Answer is D

Choice A reason:

Hypothermia refers to abnormally low body temperature and is not associated with the clinical presentation of peritonitis.

Choice B reason:

Hypertension refers to high blood pressure and is not directly associated with the signs of peritonitis.

Choice C reason:

Hyperventilation involves rapid breathing but may not always be present in peritonitis.

Choice D reason:

The client's elevated temperature, rapid heart rate, and shallow breathing are indicative of a systemic inflammatory response, which is a characteristic feature of peritonitis.

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Correct Answer is D

Explanation

Choice A reason:

Rebound tenderness refers to increased pain upon release of pressure during palpation and is not related to the finding of a rigid, board-like abdomen.

Choice B reason:

Paralytic ileus refers to a condition in which the intestines stop functioning, causing a lack of bowel sounds and distension, but it is not directly related to the rigid abdomen finding.

Choice C reason:

Abdominal compartment syndrome may cause abdominal distension and increased intra-abdominal pressure, but it does not necessarily result in a rigid, board-like abdomen.

Choice D reason:

The finding of a rigid, board-like abdomen upon palpation is known as guarding, which is a protective response of the abdominal muscles in peritonitis to minimize movement and protect the inflamed peritoneum.

A. Referred pain B. Visceral pain C. Neuropathic pain D. Radiating pain

Correct Answer is B

Explanation

Choice A reason:

Referred pain is pain that is felt in a different location from its source, and it is not directly associated with the sharp, sudden-onset pain described by the client.

Choice B reason:

Visceral pain arises from the internal organs and is often described as sharp and colicky. It worsens with movement and is a characteristic feature of peritonitis.

Choice C reason:

Neuropathic pain is caused by nerve damage and is not typically associated with peritonitis.

Choice D reason:

Radiating pain is pain that extends from its source to other areas, and it is not specifically described in the scenario.

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A client with peritonitis presents with an elevated temperature, rapid heart rate, and shallow breathing. The nurse recognizes these signs as indicative of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

A client with peritonitis reports experiencing sharp, sudden-onset pain that worsens with movement. The nurse recognizes this type of pain as:

Correct Answer is B

Explanation

A client presents to the emergency department with severe abdominal pain, tenderness, and fever. The client reports a recent history of ruptured appendix. The nurse suspects the client may be experiencing:

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

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

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

A client with peritonitis experiences abdominal distension and decreased bowel sounds on auscultation. The nurse recognizes these findings as suggestive of:

A nurse is caring for a client diagnosed with peritonitis. Which intervention is the highest priority in the management of this condition?

A client with suspected peritonitis is undergoing abdominal imaging. The nurse prepares the client for which diagnostic imaging modality that can provide detailed images of the peritoneal organs and structures?

A client with peritonitis is receiving intravenous (IV) antibiotics. The nurse should monitor the client for which potential side effect of antibiotic therapy?