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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?

Increased urine output

Abdominal distension and firmness

Normal respiratory rate

Mild incisional pain

Answer and Explanation

The Correct Answer is B

Choice A reason:

Increased urine output is not a concerning finding in this context and may indicate adequate fluid resuscitation.

Choice B reason:

Abdominal distension and firmness are concerning findings and may indicate the development of abdominal compartment syndrome, a serious complication of peritonitis.

Choice C reason:

Normal respiratory rate is a positive finding, but it does not directly relate to the development of abdominal compartment syndrome.

Choice D reason:

Mild incisional pain is expected after surgery, but it does not indicate the development of abdominal compartment syndrome.

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Correct Answer is B

Explanation

Choice A reason:

Slower metabolism is a normal age-related change but is not directly related to an increased susceptibility to peritonitis in older adults.

Choice B reason:

Older adults may have decreased immune function, which can increase their susceptibility to infections, including peritonitis.

Choice C reason:

Increased bone density is not directly related to an increased susceptibility to peritonitis in older adults.

Choice D reason:

Reduced gastrointestinal motility is a normal age-related change but is not directly related to an increased susceptibility to peritonitis in older adults.

A. Administering pain medication as prescribed B. Monitoring vital signs every 4 hours C. Initiating broad-spectrum antibiotic therapy D. Providing deep breathing exercises

Correct Answer is C

Explanation

Choice A reason:

Administering pain medication is important for the client's comfort, but it is not the highest priority in managing sepsis, a life-threatening complication of peritonitis. Addressing the underlying infection with antibiotics takes precedence.

Choice B reason:

Monitoring vital signs is essential for assessing the client's condition, but initiating broad-spectrum antibiotic therapy is more critical in managing sepsis.

Choice C reason:

Initiating broad-spectrum antibiotic therapy is the highest priority in managing sepsis. Prompt administration of antibiotics is crucial to treat the bacterial infection and prevent its spread.

Choice D reason:

Providing deep breathing exercises is important for preventing respiratory complications, but it is not the highest priority compared to addressing sepsis with antibiotics.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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

Correct Answer is C

Explanation

A nurse is reviewing the laboratory results of a client suspected of having peritonitis. Which finding is most indicative of this condition?

A client with peritonitis is prescribed a nasogastric (NG) tube for decompression. The nurse understands that the primary purpose of the NG tube is to:

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A nurse is caring for a client with peritonitis and anticipates the need for a paracentesis. What is the purpose of a paracentesis in this client?

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

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?

A client with suspected peritonitis is undergoing abdominal imaging. The nurse prepares the client for which diagnostic imaging modality that can provide detailed images of the peritoneal organs and structures?

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