A nurse is preparing a care plan for a client with peritonitis. Which nursing intervention is essential to include in the plan to address potential complications of this condition?

Assessing for peripheral edema daily

Monitoring blood glucose levels regularly

Encouraging fluid intake to 3 liters per day

Implementing fall precautions during ambulation

Answer and Explanation

The Correct Answer is B

Choice A reason:

Assessing for peripheral edema is important for clients with various conditions, but it is not directly related to the potential complications of peritonitis.

Choice B reason:

Monitoring blood glucose levels regularly is essential in clients with peritonitis, as hyperglycemia can be a complication of the inflammatory response and stress associated with the condition.

Choice C reason:

Encouraging fluid intake is essential 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:

Implementing fall precautions is important for clients at risk of falls, but it is not directly related to potential complications of peritonitis.

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Correct Answer is D

Explanation

Choice A reason:

Having a history of allergies is not a risk factor for peritonitis.

Choice B reason:

Having a history of diabetes is not a risk factor for peritonitis.

Choice C reason:

Having a history of hypertension is not a risk factor for peritonitis.

Choice D reason:

A history of inflammatory bowel disease is a significant risk factor for peritonitis, especially if there are complications such as bowel perforation.

A. Cholecystitis B. Gastritis C. Peritonitis D. Diverticulitis

Correct Answer is C

Explanation

Choice A reason:

Cholecystitis is inflammation of the gallbladder, which is not related to a ruptured appendix.

Choice B reason:

Gastritis is inflammation of the stomach lining, which may cause abdominal pain but is not related to a ruptured appendix.

Choice C reason:

Peritonitis is inflammation of the peritoneum, the membrane lining the abdominal cavity. It can occur as a complication of a ruptured appendix and presents with severe abdominal pain, tenderness, and fever.

Choice D reason:

Diverticulitis is inflammation of the diverticula (small pouches) in the colon and is not related to a ruptured appendix.

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A nurse is preparing a care plan for a client with peritonitis. Which nursing intervention is essential to include in the plan to address potential complications of this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a group of clients about peritonitis and its risk factors. Which client is at the highest risk for developing peritonitis?

Correct Answer is D

Explanation

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:

Correct Answer is C

Explanation

A client with peritonitis is at risk of developing hypovolemic shock. Which assessment finding should the nurse be most concerned about?

A client with peritonitis is experiencing severe abdominal pain. The nurse recognizes that this pain may be exacerbated by which factor?

A client is admitted to the hospital with peritonitis. The nurse is conducting an assessment and asks the client about their recent medical history. Which risk factor is most likely associated with the development of peritonitis in this client?

A client with peritonitis presents with an elevated temperature, rapid heart rate, and shallow breathing. The nurse recognizes these signs as indicative of:

A client with peritonitis is at risk of developing septic shock. Which clinical manifestation should the nurse closely monitor to detect early signs of septic shock?

A client with peritonitis is prescribed intravenous (IV) antibiotics. The nurse ensures to:

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