A nurse is assessing a client with suspected appendicitis. Which symptom should the nurse recognize as a potential indication of appendix perforation?

Severe, constant abdominal pain in the lower right quadrant

Elevated heart rate and blood pressure

Rebound tenderness in the lower right abdomen

Fever and signs of sepsis

Answer and Explanation

The Correct Answer is D

A) Incorrect. Severe, constant abdominal pain in the lower right quadrant is indicative of appendicitis, but it does not specifically indicate perforation.

B) Incorrect. While an elevated heart rate and blood pressure may be present in response to pain or infection, they are not specific indications of appendix perforation.

C) Incorrect. Rebound tenderness in the lower right abdomen is an important clinical sign of appendicitis but is not specific to perforation.

D) Correct. Fever and signs of sepsis, including an elevated temperature, increased heart rate, and other systemic symptoms, can indicate the presence of infection due to appendix perforation.

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Correct Answer is C

Explanation

A) Incorrect. While gastrointestinal bleeding is a separate concern, it is not a recognized risk factor specifically for appendicitis.

B) Incorrect. Being a non-smoker is a positive health behavior but is not identified as a risk factor for appendicitis.

C) Correct. Having a history of ulcerative colitis, which is an inflammatory bowel disease, is a potential predisposing condition for developing appendicitis.

D) Incorrect. Maintaining a vegetarian diet is generally considered a healthy dietary choice but is not identified as a specific risk factor for appendicitis.

A. "A urine test helps to identify the presence of bacteria in the appendix." B. "A urine test assesses kidney function and fluid balance." C. "A urine test can rule out urinary tract infection as the cause of abdominal pain." D. "A urine test directly visualizes the appendix."

Correct Answer is C

Explanation

A) Incorrect. A urine test does not directly identify the presence of bacteria in the appendix. It assesses components of urine, not the contents of the appendix.

B) Incorrect. While a urine test can provide information about kidney function and fluid balance, it is not specifically related to the evaluation of appendicitis.

C) Correct. A urine test is relevant in the evaluation of appendicitis because it can help rule out urinary tract infection (UTI) as the cause of abdominal pain. UTI symptoms can sometimes mimic those of appendicitis.

D) Incorrect. A urine test does not directly visualize the appendix. It assesses components of urine, not the anatomy of the abdominal organs.

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A nurse is assessing a client with suspected appendicitis. Which symptom should the nurse recognize as a potential indication of appendix perforation?

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Naxlex Comprehensive Predictor Exams

A nurse is providing education about appendicitis risk factors to a group of clients. Which factor should the nurse emphasize as a potential predisposing condition for appendicitis?

Correct Answer is C

Explanation

A client asks the nurse about the purpose of a urine test in the evaluation of appendicitis. What should the nurse explain about the relevance of a urine test in this context?

Correct Answer is C

Explanation

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