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 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.

A. Change the IV site every 24 hours B. Administer the antibiotics using an infusion pump C. Discontinue the antibiotics after 48 hours of improvement D. Administer the antibiotics through a peripheral IV catheter

Correct Answer is B

Explanation

Choice A reason:

Changing the IV site every 24 hours is not necessary for IV antibiotic administration unless there is an indication of infiltration or infection at the site.

Choice B reason:

Administering the antibiotics using an infusion pump is essential to ensure accurate and controlled delivery of the medication, particularly when the client's condition requires a precise dosing schedule.

Choice C reason:

Discontinuing the antibiotics after 48 hours of improvement may lead to a recurrence of the infection. Clients with peritonitis often require a full course of antibiotic therapy to ensure complete eradication of the infection.

Choice D reason:

Administering the antibiotics through a peripheral IV catheter may not be suitable for the client's condition, as peritonitis may necessitate the use of a central line for administration of IV medications.

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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:

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client suspected of having peritonitis. Which diagnostic test is most likely to be performed to confirm the diagnosis?

Correct Answer is D

Explanation

A client with peritonitis is prescribed intravenous (IV) antibiotics. The nurse ensures to:

Correct Answer is B

Explanation

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

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

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

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

A client with peritonitis is experiencing acute respiratory distress. Which intervention is the nurse's priority in managing this complication?

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?