A child is brought into the ED with suspected appendicitis. What signs and symptoms does the nurse expect to assess? (Select all that apply.)

Left lower quadrant pain

Guarding

Rebound tenderness

Decreased C-reactive protein

Pain on lifting thigh when supine

Answer and Explanation

Correct Answer : B,C,E

A. Left lower quadrant pain is not typical. Appendicitis usually presents with right lower quadrant pain (McBurney’s point).

B. Guarding is a common sign of abdominal irritation or inflammation and is expected with appendicitis.

C. Rebound tenderness, where pain intensifies when pressure is released, is a classic sign of peritoneal irritation caused by appendicitis.

D. C-reactive protein (CRP) typically increases with inflammation; a decrease would not be expected in active appendicitis.

E. Pain on lifting the thigh when supine (the psoas sign) suggests irritation of the iliopsoas muscle, often seen in retrocecal appendicitis.

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Correct Answer is C

Explanation

A. Suggesting a larger dress size may feel dismissive and doesn't address the emotional and practical concerns the client has.
B. While dietary changes can reduce gas, this response overlooks the client’s emotional needs and long-term self-image concerns.
C. Collaborating with the ostomy nurse provides the client with expert support, tailored solutions for managing the ostomy, and guidance on body image and confidence—empowering the client to feel more comfortable attending prom.
D. Removing the pouch is unsafe and inappropriate, especially for a client with an ileostomy, which continuously produces output.

A. Chocolate B. Decaffeinated coffee C. Citrus fruits D. Peppermint E. Tomato sauce

Correct Answer is ["A","C","D","E"]

Explanation

A. Chocolate contains methylxanthines, which relax the lower esophageal sphincter, promoting acid reflux.

B. Decaffeinated coffee is less acidic than regular coffee but can still stimulate acid production; however, it is not as commonly restricted as other trigger foods.

C. Citrus fruits are acidic and can irritate the esophagus, worsening GERD symptoms.

D. Peppermint relaxes the lower esophageal sphincter, making reflux more likely.

E. Tomato sauce is highly acidic and a known trigger for GERD symptoms.

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A child is brought into the ED with suspected appendicitis. What signs and symptoms does the nurse expect to assess? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse cares for a young client with a new ileostomy. The client states, "I cannot go to prom with an ostomy." How would the nurse respond?

Correct Answer is C

Explanation

A nurse is teaching clients with gastroesophageal reflux disease (GERD) about foods to avoid. Which foods should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

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