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 B
Explanation
A. Lymphadenopathy: A bruit is not associated with lymphadenopathy; it is caused by turbulent blood flow.
B. Turbulent blood flow: A bruit is the sound of turbulent blood flow, which occurs due to partial arterial occlusion.
C. Hypermetabolic states: While bruits can be heard in various conditions, they are not typically associated with hypermetabolic states like fever or thyroid disease.
D. Venous disease: Bruits are arterial in origin, not related to venous disease.
Correct Answer is D
Explanation
A. Warming the stethoscope: Improves comfort but is not the first step.
B. Bending the knees: Helps relax abdominal muscles but is done after bladder emptying.
C. Exposing only the abdomen: Ensures privacy but does not affect comfort as much as an empty bladder.
D. Emptying the bladder relieves pressure and discomfort, allowing for a thorough and accurate examination.
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