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 B

Explanation

Choice A reason:

Referred pain is pain that is felt in a different location from its source, and it is not directly associated with the sharp, sudden-onset pain described by the client.

Choice B reason:

Visceral pain arises from the internal organs and is often described as sharp and colicky. It worsens with movement and is a characteristic feature of peritonitis.

Choice C reason:

Neuropathic pain is caused by nerve damage and is not typically associated with peritonitis.

Choice D reason:

Radiating pain is pain that extends from its source to other areas, and it is not specifically described in the scenario.

A. Increased production of stomach acid B. Impaired liver function C. Gallbladder dysfunction D. Chronic lung disease

Correct Answer is B

Explanation

Choice A reason:

Increased production of stomach acid is not directly related to peritonitis.

Choice B reason:

Cirrhosis is a condition where the liver is scarred and impaired in function. The liver plays a crucial role in immune function, and impaired liver function can lead to increased susceptibility to infections like peritonitis.

Choice C reason:

Gallbladder dysfunction is not directly related to peritonitis.

Choice D reason:

Chronic lung disease is not directly related to peritonitis.

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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 with peritonitis reports experiencing sharp, sudden-onset pain that worsens with movement. The nurse recognizes this type of pain as:

Correct Answer is B

Explanation

A client with cirrhosis is admitted to the hospital with suspected peritonitis. The nurse understands that cirrhosis is a significant risk factor for peritonitis due to:

Correct Answer is B

Explanation

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?

A client is recovering from peritonitis and is being discharged from the hospital. The nurse provides discharge instructions and emphasizes the importance of:

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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A client with peritonitis develops a wound infection at the surgical site. Which nursing intervention is essential in preventing the spread of infection?

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

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