ch. 52- Concepts of Care for Patients with Inflammatory Intestinal Disorders

ch. 52- Concepts of Care for Patients with Inflammatory Intestinal Disorders UPDATED Which cardinal signs will the nurse expect to assess in a client diagnosed with peritonitis? a. Fever with headache and confusion b. Dizziness with nausea and vomiting c. Loss of appetite with nausea and weight loss d. Abdominal pain with distention and tenderness - ANS d. Abdominal pain with distention and tenderness Which important information will the nurse include when teaching a client about peritonitis? Select all that apply a. Peritonitis is caused by contamination of the peritoneal cavity by bacteria or chemicals b. Respiratory problems associated with peritonitis are related to increased abdominal pressure against the diaphragm c. White blood cell counts are often decreased when a client is diagnosed with peritonitis d. Chemical peritonitis is caused by leakage of pancreatic enzymes or gastric acids e. Fairly common causes of peritonitis include invasive tumors and continuous ambulatory peritoneal dialysis f. When the peritoneal cavity is contaminated by bacteria, the body begins an inflammatory reaction, walling off a localized area to fight the infection - ANS a. Peritonitis is caused by contamination of the peritoneal cavity by bacteria or chemicals b. Respiratory problems associated with peritonitis are related to increased abdominal pressure against the diaphragm d. Chemical peritonitis is caused by leakage of pancreatic enzymes or gastric acids f. When the peritoneal cavity is contaminated by bacteria, the body begins an inflammatory reaction, walling off a localized area to fight the infection Which surgical client will the nurse recognize as having the highest risk for development of peritonitis? a. 35 yo having a laparoscopic appendectomy b. 45 yo having a vaginal hysterectomy c. 60 yo having a traditional cholecystectomy for cholelithiasis d. 72 yo having a bowel resection for colon cancer - ANS d. 72 yo having a bowel resection for colon cancer Which interventions will the nurse include when care of a client with peritonitis is focused on restoring fluid volume balance? Select all that apply a. Administering IV isotonic fluids and broad-spectrum antibiotics b. Assigning the AP to weight the client daily and record intake and output c. Providing NGT care and keeping the stomach decompressed d. Administering opioid pain medications as prescribed by the primary health care provider e. Maintaining the client on NPO status while the NGT is in place to low suction f. Assessing whether the client retains fluid used for irrigation by comparing and recording the amount of fluid returned with the amount of fluid instilled - ANS a. Administering I