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A nurse is reviewing the laboratory results of a client suspected of having peritonitis. Which finding is most indicative of this condition?

Elevated serum creatinine levels

Elevated amylase and lipase levels

Elevated blood glucose levels

Elevated white blood cell count (WBC)

Answer and Explanation

The Correct Answer is D

Choice A reason:

Elevated serum creatinine levels are associated with kidney function and are not specific to peritonitis.

Choice B reason:

Elevated amylase and lipase levels are indicative of pancreatitis and are not directly related to peritonitis.

Choice C reason:

Elevated blood glucose levels may be indicative of diabetes or stress-related hyperglycemia but are not specific to peritonitis.

Choice D reason:

An elevated white blood cell count (WBC) is a common finding in peritonitis, indicating an inflammatory response and possible infection in the peritoneal cavity.

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Correct Answer is C

Explanation

Choice A reason:

Removal of fluid from the pleural cavity would be a thoracentesis, not a paracentesis.

Choice B reason:

Removal of fluid from the pericardial sac would be a pericardiocentesis, not a paracentesis.

Choice C reason:

A diagnostic paracentesis involves removing fluid from the peritoneal cavity to analyze for signs of infection and inflammation, which is important in diagnosing peritonitis.

Choice D reason:

Removal of fluid from the spinal canal would be a lumbar puncture, not a paracentesis.

A. Monitoring blood glucose levels B. Administering pain medication as prescribed C. Encouraging fluid intake to 3 liters per day D. Maintaining fluid and electrolyte balance

Correct Answer is D

Explanation

Choice A reason:

Monitoring blood glucose levels is important for clients with various conditions, but it is not directly related to the management of acute kidney injury (AKI) in peritonitis.

Choice B reason:

Administering pain medication is essential for managing the client's pain and providing comfort during treatment, but it is not directly related to the management of acute kidney injury.

Choice C reason:

Encouraging fluid intake is important 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:

Maintaining fluid and electrolyte balance is crucial in managing acute kidney injury in peritonitis. The nurse should closely monitor the client's fluid intake, output, and electrolyte levels and collaborate with the healthcare team to adjust the fluid therapy as needed.

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A nurse is reviewing the laboratory results of a client suspected of having peritonitis. Which finding is most indicative of this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

A client with peritonitis develops acute kidney injury (AKI). Which nursing intervention is essential in the management of this complication?

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:

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 client with peritonitis is prescribed a nasogastric (NG) tube for decompression. The nurse understands that the primary purpose of the NG tube is to:

A nurse is providing care to a client with peritonitis and is reviewing the client's medication history. Which medication places the client at an increased risk of developing peritonitis?

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 caring for a client with peritonitis observes the client assuming a fetal position and exhibiting restlessness. The nurse interprets these behaviors as indicative of:

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

A nurse is caring for a client with peritonitis and is reviewing the client's medical history. Which condition places the client at an increased risk of developing peritonitis?