A client is experiencing abdominal discomfort and is concerned about the possibility of appendicitis. What symptom should the nurse emphasize as a common early sign of appendicitis?

Sharp, stabbing pain in the lower right abdomen

Nausea and loss of appetite

Severe, constant pain radiating to the back

Bloated feeling and excessive gas

Answer and Explanation

The Correct Answer is B

A) Incorrect. While sharp, stabbing pain in the lower right abdomen is a characteristic symptom of appendicitis, it tends to develop as the condition progresses.

B) Correct. Nausea and loss of appetite are common early symptoms of appendicitis. Inflammation in the early stages can lead to irritation of the abdominal lining, resulting in these symptoms.

C) Incorrect. Severe, constant pain radiating to the back is not a typical early sign of appendicitis. This type of pain is more commonly associated with other conditions.

D) Incorrect. Feeling bloated and experiencing excessive gas are not specific early signs of appendicitis. These symptoms may be present in various digestive conditions.

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Correct Answer is D

Explanation

A) Incorrect. Applying a heating pad may provide temporary relief but will not address the underlying cause of appendicitis. It is important to seek medical attention.

B) Incorrect. Taking over-the-counter laxatives is not recommended for suspected appendicitis. It is important to seek proper medical evaluation and treatment.

C) Incorrect. Avoiding food and liquids can lead to dehydration and is not recommended. It is important to maintain hydration and seek prompt medical attention.

D) Correct. This option emphasizes the importance of seeking immediate medical attention if the client experiences worsening pain, fever, or vomiting, as these could be signs of a progressing appendicitis and require urgent evaluation and treatment.

A. "The infection triggers an allergic reaction in the appendix, leading to inflammation." B. "The infection causes blockage of the appendix, leading to increased pressure and inflammation." C. "The infection weakens the appendix wall, resulting in dilation and inflammation." D. "The infection directly damages the nerves in the appendix, causing pain and inflammation."

Correct Answer is B

Explanation

A) Incorrect. Appendicitis is primarily caused by infection and subsequent inflammation, not an allergic reaction.

B) Correct. An infection can lead to the obstruction of the appendix, causing an increase in pressure within the appendix. This increased pressure leads to inflammation and the characteristic symptoms of appendicitis.

C) Incorrect. While infection can lead to inflammation and dilation of the appendix, the primary mechanism is obstruction due to the infection.

D) Incorrect. The infection itself does not directly damage the nerves in the appendix. The pain associated with appendicitis is a result of the inflammation and increased pressure.

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A client is experiencing abdominal discomfort and is concerned about the possibility of appendicitis. What symptom should the nurse emphasize as a common early sign of appendicitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is worried about the possibility of appendicitis. What advice should the nurse provide regarding self-care while awaiting medical evaluation?

Correct Answer is D

Explanation

A client is interested in understanding how an infection in the appendix leads to appendicitis. What should the nurse explain about this process?

Correct Answer is B

Explanation

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