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
Barrett's esophagus is a condition in which the normal squamous epithelium of the esophagus is replaced by columnar epithelium due to chronic acid reflux. This can increase the risk of esophageal cancer and cause symptoms such as dysphagia, odynophagia, and a sensation of a lump in the throat.
Correct Answer is B
Explanation
A strain is an injury to a muscle or a tendon that occurs when it is stretched or torn beyond its normal range of motion. Strains can result from overextension of muscles or tendons, such as lifting a heavy object, twisting or bending awkwardly, or performing repetitive motions. Strains can cause bleeding and swelling in the affected area, as well as pain and reduced function.
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