Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
45. Following surgery for appendicitis, a client develops peritonitis. Which signs or symptoms should a nurse identify as being consistent with peritonitis? Select all that apply.
. Shallow respirations.
. Abdominal rigidity.
. Hyperactive bowel sounds.
. Abdominal pain.
. Increased flatus.
Test-Taking Tip
Eliminate the two options that describe increased bowel activity.
Content Area: Adult Health, Gastrointestinal; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Pathophysiology
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
. . .
Answer 1 is correct because deep breathing causes pressure on the peritoneum from the diaphragm and pain. Expect to see shallow breathing, which causes minimal pressure on the diaphragm. Answer 2 is correct because peritoneal inflammation causes peritoneal contraction and the classic "boardlike abdomen." Answer 3 is incorrect because bowel sounds are typically hypoactive. Answer 4 is correct because the inflammation and irritation of the peritoneum cause pain. Answer 5 is incorrect because the decreased peristalsis will decrease flatus.