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A nurse is assisting with a diagnostic paracentesis for a client with suspected peritonitis. The nurse understands that this procedure involves:

Removal of fluid from the pleural cavity

Removal of fluid from the pericardial sac

Removal of fluid from the peritoneal cavity

Removal of fluid from the spinal canal

Answer and Explanation

The Correct Answer is C

Choice A reason:

Removal of fluid from the pleural cavity would be a thoracentesis, not a paracentesis.

Choice B reason:

Removal of fluid from the pericardial sac would be a pericardiocentesis, not a paracentesis.

Choice C reason:

A diagnostic paracentesis involves removing fluid from the peritoneal cavity to analyze for signs of infection and inflammation, which is important in diagnosing peritonitis.

Choice D reason:

Removal of fluid from the spinal canal would be a lumbar puncture, not a paracentesis.

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Correct Answer is B

Explanation

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.

A. A 22-year-old female with a history of allergies B. A 45-year-old male with a history of diabetes C. A 35-year-old female with a history of hypertension D. A 60-year-old male with a history of inflammatory bowel disease

Correct Answer is D

Explanation

Choice A reason:

Having a history of allergies is not a risk factor for peritonitis.

Choice B reason:

Having a history of diabetes is not a risk factor for peritonitis.

Choice C reason:

Having a history of hypertension is not a risk factor for peritonitis.

Choice D reason:

A history of inflammatory bowel disease is a significant risk factor for peritonitis, especially if there are complications such as bowel perforation.

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A nurse is assisting with a diagnostic paracentesis for a client with suspected peritonitis. The nurse understands that this procedure involves:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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:

Correct Answer is B

Explanation

A nurse is providing education to a group of clients about peritonitis and its risk factors. Which client is at the highest risk for developing peritonitis?

Correct Answer is D

Explanation

A nurse is providing education to a group of older adult clients about the risk factors for peritonitis. Which factor is most likely to increase the susceptibility to peritonitis in older adults?

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

A client with peritonitis is at risk of developing septic shock. Which clinical manifestation should the nurse closely monitor to detect early signs of septic shock?

A client with peritonitis develops a high fever, chills, and profuse sweating. The nurse recognizes these signs as indicative of:

A client with suspected peritonitis is scheduled for diagnostic paracentesis. The nurse explains to the client that this procedure involves:

A client is undergoing peritoneal dialysis. The nurse recognizes that this client is at an increased risk of developing peritonitis due to:

A client is recovering from peritonitis and is being discharged from the hospital. The nurse provides discharge instructions and emphasizes the importance of:

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