A nurse is discussing the progression of appendicitis with a group of students. What should the nurse emphasize as an early symptom related to the pathophysiology of this condition?
Nausea and loss of appetite
Rebound tenderness in the lower right abdomen
Fever and elevated white blood cell count
Severe, constant abdominal pain in the lower right quadrant
The Correct Answer is A
A) Correct. In the early stages of appendicitis, inflammation leads to irritation of the abdominal lining, resulting in symptoms like nausea and loss of appetite.
B) Incorrect. Rebound tenderness is a later sign of appendicitis and may not be present in the early stages.
C) Incorrect. Fever and an elevated white blood cell count typically occur as the infection progresses, which is a later stage of appendicitis.
D) Incorrect. Severe, constant abdominal pain in the lower right quadrant is a classic symptom, but it tends to develop after the initial nausea and loss of appetite.
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Related Questions
Correct Answer is B
Explanation
A) Incorrect. This statement provides incorrect information about appendicitis. It describes cholecystitis, an inflammation of the gallbladder.
B) Correct. This statement accurately describes appendicitis as an inflammation of the appendix, a small pouch located in the lower right side of the abdomen. This condition can lead to serious complications if not promptly treated.
C) Incorrect. This statement describes a condition involving ulcers in the stomach lining, which is not appendicitis.
D) Incorrect. This statement describes gastroenteritis, an infection of the small intestine, which is different from appendicitis.
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.
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