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
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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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A reason:
Anxiety may lead to restlessness, but the assumption of a fetal position suggests a pain response, which is a common finding in peritonitis.
Choice B reason:
Fatigue may lead to restlessness, but it does not explain the assumption of a fetal position, which is a pain-coping mechanism.
Choice C reason:
The client assuming a fetal position and exhibiting restlessness are indicative of pain, which is a common symptom in peritonitis.
Choice D reason:
Respiratory distress is not directly related to the findings described in the scenario.
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