A nurse is teaching a group of students about the signs and symptoms of appendicitis. What should the nurse emphasize as a common early symptom of appendicitis?

Rebound tenderness in the lower right abdomen

Severe, sudden-onset abdominal pain in the upper abdomen

Diarrhea and frequent bowel movements

Nausea and loss of appetite

Answer and Explanation

The Correct Answer is D

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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Correct Answer is C

Explanation

A) Incorrect. This statement provides incorrect information about the location of the appendix. The appendix is not located in the upper left quadrant.

B) Incorrect. The appendix is not situated in the lower left quadrant near the sigmoid colon. Its typical location is in the lower right quadrant.

C) Correct. The appendix is usually located in the lower right quadrant of the abdomen, near the right hip bone. This is a key anatomical feature when assessing for appendicitis.

D) Incorrect. The appendix is not found in the upper right quadrant near the liver. Its location is in the lower right quadrant.

A. Nausea and loss of appetite B. Rebound tenderness in the lower right abdomen C. Fever and elevated white blood cell count D. Severe, constant abdominal pain in the lower right quadrant

Correct Answer is A

Explanation

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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A nurse is teaching a group of students about the signs and symptoms of appendicitis. What should the nurse emphasize as a common early symptom of appendicitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is concerned about the location of the appendix. What should the nurse explain about its usual location?

Correct Answer is C

Explanation

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?

Correct Answer is A

Explanation

A nurse is providing discharge instructions to a client who underwent an appendectomy. What should the nurse include in the instructions regarding activity restrictions?

A client who underwent an appendectomy is concerned about the appearance of the surgical incision. What should the nurse advise the client regarding wound care?

A client is concerned about the possibility of developing an infection after appendectomy surgery. What should the nurse instruct the client to do to reduce the risk of infection?

A nurse is educating a group of students about the post-operative care of a client who underwent an appendectomy. What should the nurse emphasize as a priority in the immediate post-operative period?

A nurse is providing post-operative care to a client after an appendectomy. What is a priority intervention to prevent complications in the immediate post-operative period?

A client is curious about how appendicitis develops. What should the nurse explain about the underlying process of appendicitis?

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

A client recovering from an appendectomy asks the nurse about pain management. What should the nurse instruct the client to do for effective pain relief?