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:

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.

A. Fever and diarrhea B. Abdominal distension and flatulence C. Nausea and vomiting D. Sudden-onset severe abdominal pain and tenderness

Correct Answer is D

Explanation

Choice A reason:

Fever and diarrhea are not specific early signs of peritonitis.

Choice B reason:

Abdominal distension and flatulence may occur for various reasons after abdominal surgery, but they are not specific to peritonitis.

Choice C reason:

Nausea and vomiting can be caused by various post-operative factors and are not specific to peritonitis.

Choice D reason:

Sudden-onset severe abdominal pain and tenderness are classic early signs of peritonitis and indicate the need for immediate medical attention.

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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 client with peritonitis is prescribed continuous gastric suction. The nurse understands that this intervention is essential to:

Correct Answer is D

Explanation

A client underwent abdominal surgery and is now at risk of developing peritonitis. The nurse teaches the client about the early signs and symptoms of peritonitis. What should the nurse include in the teaching?

Correct Answer is D

Explanation

A client with a history of appendectomy develops peritonitis. The nurse anticipates which diagnostic test to confirm the diagnosis?

A client presents to the emergency department with severe abdominal pain, tenderness, and fever. The client reports a recent history of ruptured appendix. The nurse suspects the client may be experiencing:

A client with peritonitis is undergoing diagnostic imaging. The nurse explains to the client that the purpose of this imaging is to:

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

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

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: