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:

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.

A. Inserting a catheter into the bladder to collect urine B. Removing fluid from the peritoneal cavity for analysis C. Injecting contrast dye into the bloodstream for imaging D. Taking a tissue sample from the peritoneal lining

Correct Answer is B

Explanation

Choice A reason:

Inserting a catheter into the bladder to collect urine is not related to diagnostic paracentesis for peritonitis.

Choice B reason:

Diagnostic paracentesis involves removing fluid from the peritoneal cavity for analysis, helping to identify the presence of infection or inflammation in the peritoneum.

Choice C reason:

Injecting contrast dye into the bloodstream for imaging is not a part of the diagnostic paracentesis procedure.

Choice D reason:

Taking a tissue sample from the peritoneal lining is not the purpose of diagnostic paracentesis.

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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 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 suspected peritonitis is scheduled for diagnostic paracentesis. The nurse explains to the client that this procedure involves:

Correct Answer is B

Explanation

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

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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?

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