A client is being seen in the clinic for severe abdominal pain with nausea and vomiting. The nurse assesses the abdomen and notes an absence of bowel sounds and a very rigid abdomen. What would these assessment findings most likely indicate?
Ulcerative colitis.
Appendicitis.
Peritonitis.
Diverticulitis.
The Correct Answer is C
Peritonitis. The assessment findings of an absence of bowel sounds and a very rigid abdomen in a client with severe abdominal pain, nausea, and vomiting are indicative of peritonitis. Peritonitis is an inflammation of the peritoneum, the thin tissue that lines the inner wall of the abdomen and covers most of the abdominal organs. The inflammation can occur due to an infection or other causes, and it can cause abdominal pain, nausea, vomiting, and a rigid abdomen. An absence of bowel sounds is also a characteristic finding of peritonitis.
A is not the correct answer because ulcerative colitis is a chronic inflammatory bowel disease that causes inflammation and ulcers in the colon and rectum.
B is not the correct answer because appendicitis is inflammation of the appendix, which can cause right lower quadrant abdominal pain, nausea, vomiting, and fever.
D is not the correct answer because diverticulitis is inflammation of one or more diverticula, which are small pouches that can form in the colon. It can cause left lower quadrant abdominal pain, fever, diarrhea, or constipation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Tendon. A tendon is a fibrous connective tissue that connects muscle to bone. Musculoskeletal injuries that involve tendons can result from overuse, trauma, or degeneration. Tendinitis, for example, is a common condition characterized by inflammation of a tendon.
Choice A, Joint, is incorrect because a joint is the point of articulation between two or more bones.
Choice B, Cartilage, is incorrect because cartilage is a tough, flexible connective tissue that cushions joints and supports various structures in the body.
Choice D, Ligament, is incorrect because a ligament is a fibrous connective tissue that connects bone to bone and provides stability to joints.
Correct Answer is ["A","B","D","E"]
Explanation
When performing pin care, the nurse should use aseptic technique and obtain a culture if purulent drainage is present. The applicator should be used only once, and the site should be cleaned, working toward the pin. Crusts around the pin site should not be removed as this can cause trauma to the site and increase the risk of infection.
Choice C, Gently remove crusts around pin sites is not appropriate as this can cause trauma to the site and increase the risk of infection.
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