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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 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. Hypertension B. Hypoglycemia C. Allergic reaction D. Bradycardia

Correct Answer is C

Explanation

Choice A reason:

Hypertension is not a common side effect of IV antibiotic therapy.

Choice B reason:

Hypoglycemia is not a common side effect of IV antibiotic therapy.

Choice C reason:

An allergic reaction is a potential side effect of antibiotic therapy and can range from mild skin rash to life-threatening anaphylaxis.

Choice D reason:

Bradycardia is not a common side effect of IV antibiotic therapy.

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

Correct Answer is C

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 develops acute kidney injury (AKI). Which nursing intervention is essential in the management of this complication?

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

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:

A client with peritonitis is experiencing severe abdominal pain. The nurse assesses the client's abdomen and notes that it appears bloated and distended. The nurse recognizes this as a potential sign of:

A client with peritonitis develops hypotension and tachycardia. The nurse recognizes these signs as possible indications of which complication?

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

A nurse is providing care to a client with peritonitis and is reviewing the client's medication history. Which medication places the client at an increased risk of developing peritonitis?