A positive Murphy's sign is indicative of?

Diverticulosis

Acute Cholecystitis

Appendicitis

Nephrolithiasis

Answer and Explanation

The Correct Answer is B

A. Diverticulosis: Murphy's sign is not used to diagnose diverticulosis.

B. Acute Cholecystitis: Murphy's sign is a clinical test used to identify acute cholecystitis. It is positive when the patient experiences pain upon palpation of the gallbladder area during inhalation.

C. Appendicitis: Murphy's sign is not associated with appendicitis; instead, other signs such as McBurney’s point tenderness are used.

D. Nephrolithiasis: Murphy's sign is not indicative of nephrolithiasis; kidney stones are assessed through other signs and symptoms.

Nursing Test Bank

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Correct Answer is A

Explanation

A. Pitting edema: Pressing on the skin and observing how it rebounds (if it leaves an indentation) is used to assess for pitting edema, which indicates fluid retention in the tissues.

B. Capillary refill: This test involves pressing on the nail beds and observing the time it takes for color to return, not pressing on the arm.

C. Skin temperature: This is assessed by palpating the skin, not by pressing with the thumb.

D. Peripheral pulses: This involves palpating pulse points to assess their presence and strength, not pressing on the arm to check for edema.

A. Bronchitis B. Heart failure C. Pneumonia D. Tuberculosis

Correct Answer is B

Explanation

A. Bronchitis primarily causes coughing and mucus production, and does not specifically relate to trouble breathing while lying down.

B. Heart failure often leads to orthopnea (difficulty breathing while lying flat) and paroxysmal nocturnal dyspnea (waking up at night with difficulty breathing). These symptoms align with the client's reported issues.

C. Pneumonia usually presents with acute symptoms such as cough, fever, and chest pain, rather than the specific nocturnal breathing difficulty described.

D. Tuberculosis typically involves symptoms like chronic cough, night sweats, and weight loss, rather than difficulty breathing while lying down.

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A positive Murphy's sign is indicative of?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While performing an assessment, the nurse presses the client's arm with the tip of her thumb, holds for a few seconds, and releases. The nurse observes the client as shown. What is the nurse assessing?

Correct Answer is A

Explanation

During a health history, a male client tells the nurse that he "can't breathe well" at night when he is lying down and has trouble sleeping because he wakes up with trouble breathing. The nurse would assess this client further for which of the following?

Correct Answer is B

Explanation

During the physical assessment of the peripheral vascular system, a client's foot is pale when elevated and dark red when in the dependent position. The nurse is concerned that this client is at risk for developing:

After teaching a group of students about blood flow through the heart, the instructor determines that the teaching was successful when the students state that after being received by the atria, the blood goes to which of the following?

The nurse is unable to palpate the dorsalis pedis pulse on an older adult client. What would be most appropriate for the nurse to do next?

While the nurse is assessing a 56-year-old male with concerns about his peripheral vascular health, the nurse would educate the patient about which risk factors that can influence his peripheral vascular system? (Select all that apply)

While completing the cardiovascular system health history, a client reports difficulty falling asleep unless she is in an upright position. Which of the following potential problems should the nurse further investigate?

During the cardiac cycle heart sounds correlate with events of the cycle. Which is being associated with systole?

The traditional areas of auscultation of heart sounds include Erb's point, which is located at?

Aortic insufficiency/regurgitation murmur is classified as a: