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The nurse caring for a client after urinary diversion surgery monitors the client closely for peritonitis by assessing for which sign (s) The examination should focus on identifying generalized peritonitis (rigidity, rebound tenderness, or guarding in all four abdominal quadrants) or localized peritonitis (peritoneal signs limited to one or two abdominal quadrants). Vesical trauma following pelvis bone fracture is the most frequently involved in the uroperitoneum aetiology, followed by spontaneous vesical rupture and intraoperative iatrogenic lesions

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One of the most important and constant signs that can occur is diffuse abdominal tension, without tenderness. Early stage peritonitis will often present as dull, generalized pain in the abdomen, whereas later stage peritonitis may cause more severe, localized abdominal pain. Peritonitis is the inflammation of the layer surrounding the abdominal organs

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It causes symptoms such as severe abdominal pain and tenderness, nausea, fever and general discomfort

The nurse should monitor for signs of peritonitis after urinary diversion surgery, including fever, leukocytosis, abdominal distention, lack of bowel sounds, muscle rigidity, guarding, nausea, and vomiting. Peritonitis can happen after a procedure to take out fluid from your abdomen, such as for the condition ascites in liver disease In rare cases, it can be a complication of an exam to check inside the rectum and colon called colonoscopy. The first symptoms of peritonitis are often poor appetite, nausea, and a dull bellyache

The dull ache can quickly turn into persistent, severe abdominal pain that gets worse when you move. The nurse should monitor the client for the following signs and symptoms of peritonitis Leukocytosis, abdominal pain and distention, absence of bowel sounds (paralytic ileus), fever, muscle rigidity, guarding, and nausea and vomiting.