A client with suspected peritonitis is scheduled for diagnostic paracentesis. The nurse explains to the client that this procedure involves:
Inserting a catheter into the bladder to collect urine
Removing fluid from the peritoneal cavity for analysis
Injecting contrast dye into the bloodstream for imaging
Taking a tissue sample from the peritoneal lining
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Continuous gastric suction is not primarily intended to prevent aspiration pneumonia, although it may indirectly help reduce the risk of aspiration in some cases.
Choice B reason:
Reducing intra-abdominal pressure is not the primary purpose of continuous gastric suction, although it may have some effect on the overall abdominal pressure.
Choice C reason:
Continuous gastric suction is not primarily intended to manage pain and discomfort in the client with peritonitis, although it may help alleviate some symptoms.
Choice D reason:
Promoting bowel rest is the main purpose of continuous gastric suction in the management of peritonitis. By reducing the workload of the gastrointestinal tract, the inflamed peritoneum can heal and recover more effectively.
Correct Answer is B
Explanation
Choice A reason:
Hypovolemic shock involves severe blood loss or fluid depletion and may present with signs of hypotension and tachycardia but is not directly related to the findings described.
Choice B reason:
Paralytic ileus is a lack of bowel motility that causes abdominal distension and decreased bowel sounds, and it is a common complication of peritonitis.
Choice C reason:
Intestinal obstruction involves a blockage of the intestines and may present with abdominal distension and altered bowel sounds, but it is not directly related to peritonitis in this context.
Choice D reason:
Urinary retention involves the inability to empty the bladder fully and is not related to the findings described in the scenario.
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