A nurse is caring for a client with peritonitis and observes a rigid, board-like abdomen upon palpation. The nurse recognizes this finding as:

Rebound tenderness

Paralytic ileus

Abdominal compartment syndrome

Guarding

Answer and Explanation

The Correct Answer is D

Choice A reason:

Rebound tenderness refers to increased pain upon release of pressure during palpation and is not related to the finding of a rigid, board-like abdomen.

Choice B reason:

Paralytic ileus refers to a condition in which the intestines stop functioning, causing a lack of bowel sounds and distension, but it is not directly related to the rigid abdomen finding.

Choice C reason:

Abdominal compartment syndrome may cause abdominal distension and increased intra-abdominal pressure, but it does not necessarily result in a rigid, board-like abdomen.

Choice D reason:

The finding of a rigid, board-like abdomen upon palpation is known as guarding, which is a protective response of the abdominal muscles in peritonitis to minimize movement and protect the inflamed peritoneum.

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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. Antibiotics B. Antacids C. Nonsteroidal anti-inflammatory drugs (NSAIDs) D. Oral contraceptives

Correct Answer is C

Explanation

Choice A reason:

Antibiotics are used to treat infections, including peritonitis, and do not increase the risk of developing peritonitis.

Choice B reason:

Antacids are used to neutralize stomach acid and do not increase the risk of peritonitis.

Choice C reason:

NSAIDs can cause gastrointestinal irritation and increase the risk of ulcers and perforation, which can lead to peritonitis.

Choice D reason:

Oral contraceptives do not increase the risk of developing peritonitis.

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A nurse is caring for a client with peritonitis and observes a rigid, board-like abdomen upon palpation. The nurse recognizes this finding as:

Nursing Test Bank

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 nurse is providing care to a client with peritonitis and is reviewing the client's medication history. Which medication places the client at an increased risk of developing peritonitis?

Correct Answer is C

Explanation

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

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

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

A nurse is assessing a client with suspected peritonitis. Which symptom should the nurse expect the client to report?

A nurse is assisting with a diagnostic paracentesis for a client with suspected peritonitis. The nurse understands that this procedure involves:

A nurse is caring for a client with peritonitis who is at risk of developing abdominal compartment syndrome. Which assessment finding should the nurse be most concerned about?

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:

A nurse is caring for a client with peritonitis who developed sepsis. Which nursing intervention is the highest priority in managing this complication?