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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Following a clear liquid diet for the first 24 hours after surgery is a common post-operative instruction. This helps prevent nausea and allows the digestive system to gradually return to normal function.
B) Incorrect. Resuming a regular diet immediately after waking up from anesthesia is not advisable. The digestive system needs time to recover after surgery.
C) Incorrect. Avoiding all oral intake for the first 48 hours after surgery can lead to dehydration and is not a standard practice for appendectomy recovery.
D) Incorrect. Starting with solid foods right away can be too harsh on the digestive system after surgery. A clear liquid diet is typically initiated first to allow for a gradual transition.
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.
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