A nurse is caring for a client with a recent perforated gastric ulcer. The nurse identifies that the client is at risk of developing peritonitis due to:

Excessive alcohol consumption

Sedentary lifestyle

Gastric acid hypersecretion

Frequent use of antacids

Answer and Explanation

The Correct Answer is C

Choice A reason:

Excessive alcohol consumption can contribute to the development of gastric ulcers but is not directly related to an increased risk of peritonitis in clients with perforated gastric ulcers.

Choice B reason:

A sedentary lifestyle is not directly related to an increased risk of peritonitis in clients with perforated gastric ulcers.

Choice C reason:

Gastric acid hypersecretion can contribute to the formation of gastric ulcers and increase the risk of perforation, which can lead to peritonitis.

Choice D reason:

Frequent use of antacids may alleviate symptoms of gastric ulcers but is not directly related to an increased risk of peritonitis in clients with perforated gastric ulcers.

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Correct Answer is A

Explanation

Choice A reason:

Abdominal distension and decreased bowel sounds are classic signs of paralytic ileus, a common complication of peritonitis.

Choice B reason:

Gastroenteritis is inflammation of the gastrointestinal tract and may cause diarrhea and abdominal pain but is not related to the specific symptoms described.

Choice C reason:

Appendicitis is inflammation of the appendix and is not related to abdominal distension and decreased bowel sounds.

Choice D reason:

Constipation may cause abdominal distension, but decreased bowel sounds are not characteristic of constipation.

A. Monitoring blood glucose levels B. Administering pain medication as prescribed C. Encouraging fluid intake to 3 liters per day D. Maintaining fluid and electrolyte balance

Correct Answer is D

Explanation

Choice A reason:

Monitoring blood glucose levels is important for clients with various conditions, but it is not directly related to the management of acute kidney injury (AKI) in peritonitis.

Choice B reason:

Administering pain medication is essential for managing the client's pain and providing comfort during treatment, but it is not directly related to the management of acute kidney injury.

Choice C reason:

Encouraging fluid intake is important for clients with peritonitis, but the specific recommendation of 3 liters per day is not universally applicable and may vary based on individual client needs and medical status.

Choice D reason:

Maintaining fluid and electrolyte balance is crucial in managing acute kidney injury in peritonitis. The nurse should closely monitor the client's fluid intake, output, and electrolyte levels and collaborate with the healthcare team to adjust the fluid therapy as needed.

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A nurse is caring for a client with a recent perforated gastric ulcer. The nurse identifies that the client is at risk of developing peritonitis due to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with peritonitis is experiencing abdominal distension and decreased bowel sounds. The nurse suspects the presence of:

Correct Answer is A

Explanation

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

Correct Answer is D

Explanation

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

A nurse is assessing a client with suspected peritonitis. Which clinical finding is a hallmark sign of this condition?

A nurse is caring for a client with peritonitis and anticipates the need for a paracentesis. What is the purpose of a paracentesis in this client?

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?

A nurse is preparing a care plan for a client with peritonitis. Which nursing intervention is essential to include in the plan to address potential complications of this condition?

A client with peritonitis reports experiencing sharp, sudden-onset pain that worsens with movement. The nurse recognizes this type of pain as:

A client with peritonitis is prescribed intravenous (IV) opioids for pain management. The nurse closely monitors the client for which potential side effect?