A patient is reporting sharp pain along the costovertebral angles. What does this symptom most often indicate?
Liver enlargement
Spleen enlargement
Ovarian infection
Kidney inflammation
The Correct Answer is D
A. Liver enlargement: Pain from liver enlargement is typically felt in the right upper quadrant, not along the costovertebral angle.
B. Spleen enlargement: Splenic pain is usually located in the left upper quadrant, not in the costovertebral area.
C. Ovarian infection: Pain from ovarian infection is typically felt in the lower abdomen or pelvis, not the back.
D. Kidney inflammation: Pain along the costovertebral angles often indicates kidney inflammation or infection, such as pyelonephritis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Murphy sign: This is used to assess for gallbladder inflammation, not appendicitis.
B. Shifting dullness: This is used to detect ascites, not appendicitis.
C. Obturator test: This test involves flexing the patient's right hip and knee and rotating the leg internally, causing pain if the appendix is inflamed.
D. Blumberg sign: This test for rebound tenderness indicates peritoneal irritation, commonly associated with appendicitis.
E. Iliopsoas muscle test: This test involves extending the right leg against resistance, which can elicit pain in cases of appendicitis.
F. Fluid wave: This is used to assess for ascites, not appendicitis.
Correct Answer is B
Explanation
A. 1 minute: This is not the correct duration for assessing bowel sounds.
B. 2 minutes each quadrant: Bowel sounds should be auscultated for at least 2 minutes per quadrant before determining that they are absent.
C. 5 minutes: Listening for 5 minutes is excessive and typically unnecessary unless there is concern about a complete absence of bowel sounds.
D. 10 minutes: 10 minutes is also too long for auscultation unless specifically indicated by clinical findings, like suspected paralytic ileus.
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