A client with suspected appendicitis asks the nurse about the diagnostic tests that may be performed. What test is considered the most definitive in diagnosing appendicitis?
Ultrasound
Computed tomography (CT) scan
Blood tests for infection markers
Abdominal X-ray
The Correct Answer is B
A) Incorrect. While ultrasound can be used in the evaluation of appendicitis, it is not considered the most definitive test. It may be less accurate in certain cases, such as in individuals with obesity.
B) Correct. A CT scan is considered the most definitive test for diagnosing appendicitis. It provides detailed images of the appendix and surrounding structures, allowing for accurate assessment.
C) Incorrect. Blood tests for infection markers, such as white blood cell count and C-reactive protein, can support the diagnosis of appendicitis, but they are not as definitive as a CT scan.
D) Incorrect. Abdominal X-rays are not typically used as a primary diagnostic tool for appendicitis. They may be performed to rule out other conditions, but they do not provide detailed information about the appendix itself.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Mild, intermittent abdominal pain that lasts for several days may be a sign of various conditions, but it is not the characteristic presentation of appendicitis.
B) Correct. Severe, constant abdominal pain that starts around the navel and then migrates to the lower right abdomen is a classic symptom of appendicitis. This requires prompt medical attention.
C) Incorrect. Occasional bloating and gas after meals are not specific symptoms of appendicitis.
D) Incorrect. Muscle soreness in the upper back is not typically associated with appendicitis. It may be indicative of other issues.
Correct Answer is C
Explanation
A) Incorrect. While antibiotics may be used in some cases, the primary intervention for appendicitis is surgical removal of the inflamed appendix (appendectomy).
B) Incorrect. Non-pharmacological pain management techniques may provide some relief, but they are not the primary treatment for appendicitis.
C) Correct. Appendectomy is the mainstay of treatment for appendicitis. It involves the surgical removal of the inflamed appendix to prevent complications.
D) Incorrect. Bed rest and observation alone are not sufficient for the treatment of appendicitis. Surgical intervention is typically required.
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