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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Continuous gastric suction is not primarily intended to prevent aspiration pneumonia, although it may indirectly help reduce the risk of aspiration in some cases.
Choice B reason:
Reducing intra-abdominal pressure is not the primary purpose of continuous gastric suction, although it may have some effect on the overall abdominal pressure.
Choice C reason:
Continuous gastric suction is not primarily intended to manage pain and discomfort in the client with peritonitis, although it may help alleviate some symptoms.
Choice D reason:
Promoting bowel rest is the main purpose of continuous gastric suction in the management of peritonitis. By reducing the workload of the gastrointestinal tract, the inflamed peritoneum can heal and recover more effectively.
Correct Answer is D
Explanation
Choice A reason:
Hypothermia refers to abnormally low body temperature and is not associated with the clinical presentation of peritonitis.
Choice B reason:
Hypertension refers to high blood pressure and is not directly associated with the signs of peritonitis.
Choice C reason:
Hyperventilation involves rapid breathing but may not always be present in peritonitis.
Choice D reason:
The client's elevated temperature, rapid heart rate, and shallow breathing are indicative of a systemic inflammatory response, which is a characteristic feature of peritonitis.
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