The nurse is caring for a client with chronic gastritis. Which clinical manifestation is LEAST LIKELY associated with this condition?

Choice A rationale

Clients with acute appendicitis often lie still in a fetal position to reduce pain caused by movement. The fetal position helps decrease tension on the abdominal muscles, providing relief.

Choice B rationale

Initial pain in appendicitis is often crampy and diffuse but later localizes to the right lower quadrant (McBurney's point). The progression of pain from generalized to localized is typical in appendicitis.

Choice C rationale

Rhinitis (nasal inflammation) and myalgias (muscle pain) are symptoms more associated with viral infections like the flu, not acute appendicitis. These symptoms do not support a diagnosis of appendicitis.

Choice D rationale

A lack of appetite (anorexia) is common in clients with appendicitis due to the discomfort and inflammation in the abdomen, making this a supportive symptom.

Choice A rationale

Pyloric obstruction does not cause respiratory acidosis. Instead, it leads to gastrointestinal symptoms due to obstruction of the stomach's outflow.

Choice B rationale

Abdominal pain relieved by belching is a typical symptom of pyloric obstruction, as it can help release some of the gas and pressure build-up in the stomach.

Choice C rationale

Sensation of epigastric fullness is a common symptom of pyloric obstruction due to the blockage preventing stomach contents from passing into the duodenum.

Choice D rationale

Nausea is a frequent symptom of pyloric obstruction because the stomach's inability to empty properly can lead to discomfort and vomiting. .