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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?

A 22-year-old female with a history of allergies

A 45-year-old male with a history of diabetes

A 35-year-old female with a history of hypertension

A 60-year-old male with a history of inflammatory bowel disease

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is B

Explanation

Choice A reason:

Changing the IV site every 24 hours is not necessary for IV antibiotic administration unless there is an indication of infiltration or infection at the site.

Choice B reason:

Administering the antibiotics using an infusion pump is essential to ensure accurate and controlled delivery of the medication, particularly when the client's condition requires a precise dosing schedule.

Choice C reason:

Discontinuing the antibiotics after 48 hours of improvement may lead to a recurrence of the infection. Clients with peritonitis often require a full course of antibiotic therapy to ensure complete eradication of the infection.

Choice D reason:

Administering the antibiotics through a peripheral IV catheter may not be suitable for the client's condition, as peritonitis may necessitate the use of a central line for administration of IV medications.

A. Excessive alcohol consumption B. Sedentary lifestyle C. Gastric acid hypersecretion D. Frequent use of antacids

Correct Answer is C

Explanation

Choice A reason:

Excessive alcohol consumption can contribute to the development of gastric ulcers but is not directly related to an increased risk of peritonitis in clients with perforated gastric ulcers.

Choice B reason:

A sedentary lifestyle is not directly related to an increased risk of peritonitis in clients with perforated gastric ulcers.

Choice C reason:

Gastric acid hypersecretion can contribute to the formation of gastric ulcers and increase the risk of perforation, which can lead to peritonitis.

Choice D reason:

Frequent use of antacids may alleviate symptoms of gastric ulcers but is not directly related to an increased risk of peritonitis in clients with perforated gastric ulcers.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

A nurse is caring for a client with a recent perforated gastric ulcer. The nurse identifies that the client is at risk of developing peritonitis due to:

Correct Answer is C

Explanation

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

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

A client with peritonitis is prescribed continuous gastric suction. The nurse understands that this intervention is essential to:

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

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?