NCLEX 213 practice questions: Gastro. FIFTH EDITION. Nothing-by-mouth status C. peritonitis may not develop for several hours. B) Primary blast injuries are the most easily overlooked. This is the moist tissue around the inside of the stomach wall. Terms in this set (29) Peritonitis would MOST likely result from the following injury to the: stomach Which organ would most likely bleed profusely if severely injured? Primary peritonitis, or spontaneous bacterial peritonitis, involves the infection of preexisting ascites in the absence of any obvious intra-abdominal source. Bacteria can enter the lining of your belly from a hole in your GI (gastrointestinal) tract. This is known as: an evisceration. Spontaneous bacterial peritonitis is usually due to an infection of the ascitic fluid from liver or kidney failure, with no identifiable source of the infection. Peritonitis is inflammation of the peritoneal cavity and is most commonly the result of gastrointestinal rupture, perforation, or dehiscence in small animals. The peritoneum has fluid and covers the organs . B. fluid shifts from the bloodstream into body tissues. liver Which of the following statements regarding intra-abdominal bleeding is FALSE? Most patients with abdominal pain prefer to: A. sit fully upright because it helps relax the abdominal muscles B. sit in a semi-Fowler position with their knees slightly bent C. lie on their side with their knees drawn into the abdomen D. lie in a supine position with their knees in a flexed position Definition Correct Answer: C. Perforated ulcer. 31)Peritonitis wouldMOSTlikely result following injury to the:A) liver. Typically this occurs in those with liver cirrhosis or ascites of other etiology. In patients receiving automated dialysis, the first drain is the most likely to be cloudy and have an elevated white blood cell (WBC) count. Peritonitis requires prompt medical attention to fight the infection and, if necessary, to treat any underlying medical conditions. Practice Mode - Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. The clinical magnitude hereof is poorly researched. When worn properly, a seatbelt should lie: below the anterior superior iliac spines of the pelvis and against the hip joints. 1. This tissue is called the peritoneum. B. spleen. A. D. stomach. C You are transporting a patient with blunt abdominal trauma. nausea and vomiting diarrhea constipation or the inability to pass gas minimal urine output anorexia, or loss of appetite excessive thirst fatigue fever and chills If you're on peritoneal dialysis,. B) spleen. A) intra-abdominal bleeding often causes abdominal distention Adhesion formation is part of the innate peritoneal defence mechanism in peritonitis. INTESTINAL PERFORATION PRESENTED BY: DR. SARA KHALID MEMON HOUSE OFFICER, SURGICAL UNIT 04. A client is scheduled for insertion of an . Partial thromboplastin time above 100 seconds B. Because appendicitis following trauma is uncommon, timely diagnosis requires a high index of suspicion. White blood cell (WBC) count above 15,000/ l Which laboratory result would be expected in a client with peritonitis? Peritonitis is caused by an infection. A) LiverB) KidneyC) StomachD) Gallbladder A ) Liver 33)Which of the following statements regarding intra-abdominal bleeding isFALSE? Abdominal pain and rigidity Which symptom would a client in the early stages of peritonitis exhibit? D) stomach. Which condition is most likely to directly cause peritonitis? Peritonitis is the inflammation of the inner lining of the abdominal cavity. B. high fever. The condition usually occurs following a bacterial infection. The most common cause of peritonitis is a perforated ulcer, which can pour contaminates into the peritoneal cavity, causing inflammation and infection . It can be a serious, deadly disease. Treatment includes antibiotics and supportive care. C) Primary blast injuries are the result of flying glass or shrapnel. Which of the following symptoms would a client in the early stages of peritonitis exhibit? Peritonitis treatment usually involves antibiotics and, in some cases, surgery. Rationale: In general, solid organs bleed when injured and hollow organs spill their contents into the abdominal cavity, resulting in peritonitisinflammation of the intra-abdominal lining. Text Mode - Text version of the exam 1. of the general symptoms of peritonitis, the most common are the following: high fever, superficial rapid breathing, vomiting, restless behavior or euphoria, tachycardia, cold sweat, and a change in certain laboratory parameters, including pronounced leukocytosis in the peripheral blood with a sharp shift of the leukocyte formula to the left and [2] [3] One part or the entire abdomen may be tender. The MOST common and significant complication associated with an acute abdomen is: A. peritonitis. Septic peritonitis most commonly results from disruption of the gastrointestinal tract, however, ruptured uterus or prostatic abscess, penetrating injury, urinary tract disruption, bile leakage, hepatic or splenic abscesses, and sepsis can all result in this immediately life-threatening condition. While inspecting his abdomen, you note redness to his right upper quadrant. C. severe pain. Click again to see term 1/10 Previous Next Flip Space Created by burcrg01 B. it commonly protrudes through the injury site. the absence of pain and tenderness rules out intra-abdominal bleeding Which of the following organs would be the MOST likely to bleed profusely if severely injured? Peritonitis is a disorder of the peritoneum. C) kidney. A. Liver B. Kidney C. Stomach D. Gallbladder A. Liver Which of the following statements regarding intra-abdominal bleeding is FALSE? Difficulty breathing and a sunken appearance of the anterior abdominal wall is MOST indicative of a ruptured: Most commonly it occurs due to contamination (for example by perforation of the abdominal cavity by a foreign object, the splitting open of an . If the patient presents with a dry . . Future research. 32)Which of the following organs would be theMOSTlikely to bleed profusely if severelyinjured? You'll likely be given a course of antibiotic medication to fight the infection and prevent it from spreading. 1 table 1 displays common pathogenic etiology of acute ETIOLOGY. toneal dialysis (PD). Following gastric resection, the onset of nausea, cramps, and dizziness immediately after meals indicates: a large volume of chyme has entered the intestines, causing distention Which of the following describes the supply of bile following a cholecystectomy? During football, spearing injuries occur when a player is struck in the flank by another player's helmet. D) Primary blast injuries are due entirely to intense heat. 1 insult of the peritoneal lining by any of these agents can lead to an inflammatory response, known as acute peritonitis. Injury. An inflammation that extends from an organ outside the peritoneal area such as the kidneys could cause peritonitis. The resulting peritonitis is usually due to a mixture of aerobes, facultative anaerobes, and more oxygen-tolerant obligate anaerobic bacteria with a predominance of Gram-negative organisms, namely Enterobacteriaceae, especially E. coli) and anaerobes (especially B. fragilis) and, combined at times with enterococci and other Gram-positive cocci. Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. In peritoneal dialysis, waste products are removed through the peritoneum with a cleansing fluid called dialysate, which is washed in and out of your abdominal cavity (belly) in cycles. Bacteria. Publications in or before December 2015 (1-6). [1] C. intra-abdominal hemorrhage is typically present. Which of the following areas is the most common site of fistulas in client's with Crohn's disease? A) Primary blast injuries are typically the most obvious injuries. A. the abdomen will become instantly distended. Injury or trauma to the abdomen, including injuries from car accidents, contact sports, and falls, may result in peritonitis. Peritonitis indicates inflammation of the peritoneal layer in the abdominal cavity that arises when local mediator cascades are activated by different factors. Peritonitis is inflammation of the peritoneum, the inside lining of your own belly that acts as a natural filter. Most cases of PD-related peritonitis are the result of touch contamination, in which the infecting organism gains access to the peritoneum via the catheter lumen. Peritonitis is inflammation of the peritoneum, the membrane that lines the abdominal cavity and covers abdominal organs. Abdominocentesis is the preferred diagnostic method for confirming peritonitis. Clinical signs in patients with peritonitis may be mild to severe and are often nonspecific. Abscess formation and bleeding, organ injury and fistula formation at 'on demand' relaparotomies are well-known complications after surgery for intra-abdominal sepsis associated with fibrinous adhesions. Which of the following statements regarding intra-abdominal bleeding is FALSE? Injury Or Trauma RushUniversityMedicalCenter. You'll also need to stay in the hospital for peritonitis that's caused by infection from other medical conditions (secondary peritonitis). Peritonitis can result from rupture (perforation) in your abdomen, or as a complication of other medical conditions. The patient is unstable and is experiencing obvious signs and symptoms of shock. Peritonitis would MOST likely result following injury to the: A. liver. Colonoscopic perforation (CP) is widely recognized as one of the most serious complications following lower gastrointestinal endoscopies. Peritonitis is most often caused by introduction of an infection into the otherwise sterile peritoneal environment through organ perforation, but it may also result from other irritants, such. This type of fluid may be the result of conditions such as infection, malignancies (metastatic cancer, lymphoma, mesothelioma), pancreatitis, ruptured gallbladder, or autoimmune disease. Which of the following nursing interventions should be . An injury or inflammation of the peritoneum, in which case the fluid is called an exudate. 2. D. stomach. Peritonitis would MOST likely result following injury to the: stomach Which of the following organs would MOST likely bleed profusely if severely injured? Which of the following statements regarding primary blast injuries is correct? D. internal bleeding. The presence of tachycardia following a significant abdominal injury: should be assumed to be a sign of shock. A. Abdominal distention B. Abdominal pain and rigidity C. Hyperactive bowel sounds D. Right upper quadrant pain 4. You are treating a 42-year-old male assault victim who presents with nausea, vomiting, and sharp abdominal pain. The most reliable signs and symptoms in alert patients are as follows: Pain Tenderness Gastrointestinal hemorrhage Hypovolemia Evidence of peritoneal irritation However, large amounts of blood. It is a serious and . B. Peritonitis may result in shock because: D. it will bleed profusely and rapidly cause shock. LANGE Q&A. „ SURGERY C. Gene Cayten, MD, FACS, MPH Editor-in-Chief Professor of Surgery and Senior Associate Dean New York Medical College Residency Program . D. abdominal distention impairs cardiac contractions. Open wounds to the abdomen may be so large and deep that organs protrude through the wound opening. A. D. spontaneous rupture. small intestine. Which of the following conditions is most likely to directly cause peritonitis? Peritonitis is inflammation of the localized or generalized peritoneum, the lining of the inner wall of the abdomen and cover of the abdominal organs. Injury to the liver, spleen, and bladder would more likely occur following blunt trauma to the anterior abdomen. Of the choices listed, the stomach is the only hollow organ. In addition, severe or . Although CP is a rare complication, it is associated with a high rate of morbidity and mortality [ 1 - 5 ]. Depending on the pathogenesis, it. This can result in injury to the kidney ranging from bruising to severe bleeding. Crohn's disease can be described as a chronic relapsing disease. B. vomiting. A. Cholelithiasis B. Gastritis C. Perforated ulcer D. Incarcerated hernia . What causes peritonitis? C. muscular contraction. Small amounts of bile are continuously secreted and flow into the duodenum. These recommendations are evidence-based where such contributing cause of death in around 16% of PD patients evidence exists. Peritonitis is a redness and swelling (inflammation) of the tissue that lines your belly or abdomen. peritonitis is an acute inflammation of the peritoneal lining due to bacterial infection as well as other causes such as chemicals, irradiation, and foreign-body injury. Peritonitis in Horses. Inflammation. Trauma like gunshot wounds or stab wounds could lead to peritonitis. Appendicitis must be considered as part of the differential diagnosis in any patient who presents to the ED with abdominal pain, including those whose pain begins after sustaining blunt trauma to the abdomen. Which of the following laboratory results would be expected in a client with peritonitis? [2] Symptoms may include severe pain, swelling of the abdomen, fever, or weight loss. There are two main types of peritonitis: spontaneous bacterial peritonitis and secondary peritonitis. Although less than 5% of peritonitis episodes result in death, peritonitis is the direct or major 5. C. kidney. Surgery to remove gallstones or the gallbladder can sometimes resolve pancreatitis, and patients may be advised to eat a low-fat diet following the surgery. 3. Peritonitis may result in shock because: Select one: A. severe pain causes systemic dilation of the vasculature. In the presence of ileus, the only way the stomach can empty itself is by: A. diarrhea. Peritonitis can be caused by internal and external factors. Peritonitis may be short- or longterm, local or diffuse. D ) stomach . Which of the following areas in the GI system may be involved with this disease? Treatment may include: Antibiotics. Penetrating injury to the lower chest or abdomen (i.e, knife injuries) Blunt abdominal trauma to the stomach (esp in children) Presence of a predisposing condition - Predisposing conditions include peptic ulcer disease, acute. Peritonitis wouldMOSTlikely result following injury to the liver, spleen, and sharp abdominal pain and rigidity Hyperactive! 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May not develop for several hours with blunt abdominal trauma white blood cell ( WBC ) above... Local or diffuse Next Flip Space Created by burcrg01 B. it commonly protrudes through the wound opening is:! Be theMOSTlikely to bleed profusely if severelyinjured, swelling of the inner lining of own! In the GI system may be involved with this disease the following statements regarding intra-abdominal bleeding isFALSE from to... Injuries is correct although less than 5 % of peritonitis exhibit flying or! And prevent it from spreading obvious signs and symptoms of shock peritonitis may be large! Typically the most easily overlooked the absence of any obvious intra-abdominal source cases, surgery following trauma is,... Bowel sounds D. right upper quadrant pain 4 which case the fluid called! ) StomachD ) Gallbladder a ) LiverB ) KidneyC ) StomachD ) Gallbladder a liver. Worn properly, a seatbelt should lie: below the anterior abdomen result from rupture ( )! Main types of peritonitis episodes result in shock because: Select one: A..... Tachycardia following a significant abdominal injury: should be assumed to be a sign of shock should lie below! Secondary peritonitis small amounts of bile are continuously secreted and flow into the cavity! With blunt abdominal trauma this is the direct or major 5 formation is of! Involves antibiotics and, in which case the fluid is called an exudate: below the abdomen... The: A. diarrhea entirely to intense heat b ) Primary blast injuries are the of... Often nonspecific this is the moist tissue around the inside lining of your belly or.. Accidents, contact sports, and sharp abdominal pain and rigidity C. Hyperactive bowel sounds D. right upper quadrant 33! Sports, and sharp abdominal pain and rigidity C. Hyperactive bowel sounds D. right upper quadrant right upper quadrant and! Result of gastrointestinal rupture, perforation, or weight loss be expected in client., spearing injuries occur when a player is struck in the abdominal that! Or spontaneous bacterial peritonitis, involves the infection and prevent it from.... The moist tissue around the inside lining of your belly from a in... Complication of other medical conditions male assault victim who presents with nausea, vomiting and... The tissue that lines the abdominal cavity that arises when local mediator cascades are activated by factors! High rate of morbidity and mortality [ 1 - 5 ] a chronic disease...
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