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A nurse is caring for a client with peritonitis and is reviewing the client's medical history. Which condition places the client at an increased risk of developing peritonitis?

Hypothyroidism

Chronic kidney disease

Migraine headaches

Gastroesophageal reflux disease (GERD)

Answer and Explanation

The Correct Answer is B

Choice A reason:

Hypothyroidism is not a risk factor for peritonitis.

Choice B reason:

Chronic kidney disease can weaken the immune system and make the client more susceptible to infections such as peritonitis.

Choice C reason:

Migraine headaches are not a risk factor for peritonitis.

Choice D reason:

GERD is not a risk factor for peritonitis.

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Correct Answer is C

Explanation

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.

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 peritonitis and is reviewing the client's medical history. Which condition places the client at an increased risk of developing peritonitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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:

Correct Answer is C

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

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