A 25-year-old patient is admitted with appendicitis. Which statement by the patient requires immediate nursing intervention?

"I have no appetite."

"The pain hurts so much it is making me nauseous."

"If I position myself on my right side, it makes the pain less intense."

"The pain seems to be gone now."

Answer and Explanation

The Correct Answer is D

A. "I have no appetite." – Loss of appetite (anorexia) is a common and expected symptom of appendicitis.

B. "The pain hurts so much it is making me nauseous." – Incorrect. Severe pain accompanied by nausea is typical in appendicitis and does not require immediate intervention beyond routine care.

C. "If I position myself on my right side, it makes the pain less intense." – Incorrect. Patients often find comfort in certain positions; this statement reflects a common coping mechanism.

D. "The pain seems to be gone now." – Correct. Sudden relief of pain in a patient with appendicitis may indicate rupture of the appendix, which is a medical emergency requiring immediate intervention due to the risk of peritonitis and sepsis.

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Correct Answer is F

Explanation

A. This option applies only when glucose exceeds 400 mg/dL. This client’s level is 351 mg/dL.
B. The glucose level of 351 mg/dL is much higher than this range.
C. This dose applies to a lower glucose range of 251–300 mg/dL.
D. No insulin is given when glucose is below 200 mg/dL, which is not the case here.
E. The client's level is above 350 mg/dL, so this dose of 6 units is inadequate.
F. A blood glucose level of 351 mg/dL falls within the 351–400 mg/dL range, which corresponds to administering 8 units of regular insulin according to the sliding scale.

A. ketoacidosis B. hypoglycemia C. nephropathy D. hyperglycemia

Correct Answer is B

Explanation

A. Ketoacidosis typically presents with symptoms like nausea, vomiting, abdominal pain, fruity breath, and Kussmaul respirations—not acute shakiness or sweating.
B. The signs of sweating, tachycardia, light-headedness, and shakiness are classic early symptoms of hypoglycemia, a common complication in type 1 diabetes, especially when insulin or food intake is imbalanced.
C. Nephropathy is a chronic complication of diabetes affecting the kidneys and does not present with acute symptoms like those described.
D. Hyperglycemia usually causes polyuria, polydipsia, and fatigue but not the adrenergic (fight-or-flight) symptoms described here.

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A 25-year-old patient is admitted with appendicitis. Which statement by the patient requires immediate nursing intervention?

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Naxlex Comprehensive Predictor Exams

Using the sliding scale below, indicate the amount of regular insulin an individual with a blood glucose of 351 would receive Select one:

Correct Answer is F

Explanation

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Correct Answer is B

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A 25-year-old patient is admitted with appendicitis. Which statement by the patient requires immediate nursing intervention?