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:
Anxiety
Fatigue
Pain
Respiratory distress
The Correct Answer is C
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Maintaining a low-fiber diet is not a standard recommendation for clients recovering from peritonitis.
Choice B reason:
Avoiding physical activity for two weeks is not necessary for all clients recovering from peritonitis, and individualized recommendations should be provided based on the client's condition and physician's instructions.
Choice C reason:
Taking prescribed antibiotics as directed is essential for clients recovering from peritonitis to complete the course of treatment and ensure the infection is fully eradicated.
Choice D reason:
Using a heating pad for abdominal pain relief may not be recommended for all clients recovering from peritonitis, as it may exacerbate inflammation or lead to complications. Individualized pain management strategies should be discussed with the healthcare provider.
Correct Answer is C
Explanation
Choice A reason:
Cholecystitis is inflammation of the gallbladder, which is not related to a ruptured appendix.
Choice B reason:
Gastritis is inflammation of the stomach lining, which may cause abdominal pain but is not related to a ruptured appendix.
Choice C reason:
Peritonitis is inflammation of the peritoneum, the membrane lining the abdominal cavity. It can occur as a complication of a ruptured appendix and presents with severe abdominal pain, tenderness, and fever.
Choice D reason:
Diverticulitis is inflammation of the diverticula (small pouches) in the colon and is not related to a ruptured appendix.
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