A client is concerned about the location of the appendix. What should the nurse explain about its usual location?
"The appendix is located in the upper left quadrant of the abdomen, near the stomach."
"The appendix is situated in the lower left quadrant of the abdomen, near the sigmoid colon."
"The appendix is positioned in the lower right quadrant of the abdomen, near the right hip bone."
"The appendix is found in the upper right quadrant of the abdomen, near the liver."
The Correct Answer is C
A) Incorrect. This statement provides incorrect information about the location of the appendix. The appendix is not located in the upper left quadrant.
B) Incorrect. The appendix is not situated in the lower left quadrant near the sigmoid colon. Its typical location is in the lower right quadrant.
C) Correct. The appendix is usually located in the lower right quadrant of the abdomen, near the right hip bone. This is a key anatomical feature when assessing for appendicitis.
D) Incorrect. The appendix is not found in the upper right quadrant near the liver. Its location is in the lower right quadrant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Incorrect. Rebound tenderness in the lower right abdomen is a later sign of appendicitis and may not be present in the early stages.
B) Incorrect. Severe, sudden-onset abdominal pain in the upper abdomen is not a typical early symptom of appendicitis. The pain usually starts around the navel and then migrates to the lower right abdomen.
C) Incorrect. Diarrhea and frequent bowel movements are not typically associated with early-stage appendicitis.
D) Correct. Nausea and loss of appetite are common early symptoms of appendicitis. As inflammation progresses, other symptoms like abdominal pain and tenderness may develop.
Correct Answer is C
Explanation
A) Incorrect. Keeping the incision site open to air is not recommended. It should be covered with a clean, dry dressing to prevent infection.
B) Incorrect. Applying hydrogen peroxide to the incision site daily can be too harsh and may hinder the healing process. It is not a standard practice for wound care.
C) Correct. Cleaning the incision site gently with soap and water and then covering it with a clean, dry dressing is the recommended approach for wound care after an appendectomy.
D) Incorrect. It is important for the client to gently clean the incision site as part of wound care. Avoiding touching the site altogether is not necessary, but the hands should be clean when doing so.
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