A patient arrives at the emergency department with abdominal pain, nausea, and vomiting. A physical examination reveals acute pain at the McBurney point. A CT scan confirms the diagnosis, and surgery is immediately scheduled to prevent peritonitis. Based on this information, which diagnosis is described?
Inguinal hernia
Gastroenteritis
Cholelithiasis
Acute appendicitis
The Correct Answer is D
Acute appendicitis is an inflammation of the appendix, a small pouch attached to the large intestine that has no known function. It can cause abdominal pain that usually starts around the navel and then shifts to the lower right quadrant, nausea, vomiting, loss of appetite, fever, and constipation or diarrhea. The McBurney point is a spot located about two-thirds of the way from the navel to the right hip bone that is tender when pressed in patients with appendicitis. A CT scan can show signs of inflammation and enlargement of the appendix and rule out other causes of abdominal pain. Surgery (appendectomy) is the standard treatment for appendicitis to remove the inflamed appendix and prevent complications such as peritonitis (infection of the lining of the abdominal cavity) or abscess (collection of pus) formation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Diabetes insipidus is a disorder that causes the kidneys to produce large amounts of dilute urine, resulting in dehydration and thirst. Diabetes insipidus is not related to diabetes mellitus, which affects blood glucose levels. Therefore, diabetes insipidus does not affect serum glucose levels, which are expected to be normal.
However, diabetes insipidus can affect serum sodium levels, which are a measure of the concentration of salt in the blood. Due to the loss of water from the body, serum sodium levels can become high (hypernatremia) in diabetes insipidus. However, if the patient drinks enough fluids to compensate for the urine output, serum sodium levels can remain normal.
Correct Answer is ["A","B"]
Explanation
Memory impairment. A TIA is a temporary interruption of blood flow to a part of the brain, causing neurological deficits that usually resolve within 24 hours. The symptoms of a TIA may include difficulty speaking, understanding, reading, or writing; confusion; memory loss; weakness or numbness on one side of the body; vision problems; or dizziness.
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