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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
An electrocardiogram (ECG) is used to assess the electrical activity of the heart and is not specific to diagnosing peritonitis.
Choice B reason:
A complete blood count (CBC) may reveal elevated white blood cell count and inflammatory markers, but it alone cannot confirm the diagnosis of peritonitis.
Choice C reason:
A chest X-ray may be performed to rule out other conditions, but it is not the primary diagnostic test for peritonitis.
Choice D reason:
An abdominal computed tomography (CT) scan is a valuable diagnostic tool for identifying signs of inflammation and infection in the peritoneal cavity, aiding in the confirmation of peritonitis.
Correct Answer is C
Explanation
Choice A reason:
Administering pain medication is important for the client's comfort, but it is not the highest priority in managing sepsis, a life-threatening complication of peritonitis. Addressing the underlying infection with antibiotics takes precedence.
Choice B reason:
Monitoring vital signs is essential for assessing the client's condition, but initiating broad-spectrum antibiotic therapy is more critical in managing sepsis.
Choice C reason:
Initiating broad-spectrum antibiotic therapy is the highest priority in managing sepsis. Prompt administration of antibiotics is crucial to treat the bacterial infection and prevent its spread.
Choice D reason:
Providing deep breathing exercises is important for preventing respiratory complications, but it is not the highest priority compared to addressing sepsis with antibiotics.
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