A client is interested in understanding how an infection in the appendix leads to appendicitis. What should the nurse explain about this process?
"The infection triggers an allergic reaction in the appendix, leading to inflammation."
"The infection causes blockage of the appendix, leading to increased pressure and inflammation."
"The infection weakens the appendix wall, resulting in dilation and inflammation."
"The infection directly damages the nerves in the appendix, causing pain and inflammation."
The Correct Answer is B
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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Naxlex Comprehensive Predictor Exams
Related Questions
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.
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.
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