The nurse is caring for a client who presents with acute appendicitis:

Exhibits

Select all that apply?

Creatinine, 0.9 mg/dL

White blood cell count, 11,500 mm"

BUN 26 mg/dL.

Reports of pain increasing while coughing

Potassium 3.3 mEq/L

Nausea and vomiting

Answer and Explanation

Correct Answer : B,C,D,E

Choice A rationale: This is a normal value, indicating normal renal function. The client does not have any signs of kidney damage or impairment.

Choice B rationale: This is an elevated value, indicating an infection or inflammation in the body. Acute appendicitis is a common cause of increased white blood cells, as the appendix becomes inflamed and infected. This finding requires immediate follow-up to monitor the client's condition and prevent complications such as perforation or peritonitis.

Choice C rationale: This is a high value, indicating impaired renal function or dehydration. The client may have decreased urine output due to vomiting and fluid loss, or may have underlying kidney problems. This finding requires immediate follow-up to assess the client's hydration status and renal function, and to provide appropriate fluid and electrolyte replacement.

Choice D rationale: This is a sign of peritoneal irritation, which may indicate that the appendix has ruptured or is close to rupturing. This is a medical emergency that requires immediate surgical intervention to remove the appendix and prevent sepsis and shock.

Choice E rationale: This is a low value, indicating hypokalemia or low potassium levels in the blood. The client may have lost potassium due to vomiting and fluid loss, or may have underlying electrolyte imbalances. This finding requires immediate follow-up to assess the client's cardiac function and muscle strength, and to provide appropriate potassium supplementation.

Choice F rationale: These are common symptoms of acute appendicitis, as the inflammation and infection of the appendix cause irritation of the gastrointestinal tract. These symptoms do not require immediate follow-up, but they should be managed with antiemetics and fluids to prevent dehydration and electrolyte imbalances.

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Correct Answer is C

Explanation

Choice A rationale: HPV is a sexually transmitted infection but must not necessarily be reported to the public health department.

Choice B rationale: Genital herpes should not be reported to the public health department.

Choice C rationale: Gonorrhea is a reportable disease, meaning that health care providers must notify the public health department of any confirmed cases. This helps to prevent the spread of the infection and provide treatment and counseling to the affected individuals and their partners.

Choice D rationale: Infectious mononucleosis should not be reported to the public health department.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}

Explanation

Choice A rationale: A three-point gait is used when one leg is weaker or injured and cannot bear weight. The client should place the crutches about 12 inches in front of the feet and lean forward on the crutches. Then, the client should lift the injured leg and

swing the body forward between the crutches, landing on the uninjured leg. The client should not put any weight on the injured ankle, as ordered by the physician.

Choice B rationale: A four-point gait is used when both legs can bear some weight, but one is weaker than the other.

Choice C rationale: A swing-through gait is used when both legs can bear weight, but need assistance with balance and coordination.

Choice D rationale: A two-point gait is used when both legs have equal strength and can bear full weight.

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The nurse is caring for a client who presents with acute appendicitis: Exhibits Select all that apply?

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Correct Answer is C

Explanation

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}

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The nurse is caring for a client who presents with acute appendicitis:

Exhibits

Select all that apply?