When assessing for appendicitis, what signs might the nurse look for? (Select all that apply.)
Rovsing sign
Obturator sign
Murphy sign
Psoas sign
Correct Answer : A,B,D
A. Rovsing sign: This sign involves pain in the right lower quadrant when palpating the left lower quadrant, indicating appendicitis.
B. Obturator sign: Pain on internal rotation of the hip when the knee is flexed can indicate irritation of the appendix.
C. Murphy sign: This sign is used to assess for cholecystitis, not appendicitis.
D. Psoas sign: Pain with extension of the right leg can indicate irritation of the appendix due to the psoas muscle.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. Flexible sigmoidoscopy: This test is recommended for colorectal cancer screening and can detect abnormalities in the lower part of the colon.
B. Double contrast barium enema: This test is used in colorectal cancer screening to provide images of the colon and rectum.
C. Fecal occult blood test: This test detects hidden blood in the stool, which can be an early sign of colorectal cancer.
D. Upper endoscopy: This test examines the upper gastrointestinal tract, not used for colorectal cancer screening.
E. Colonoscopy: This test is a primary screening method for colorectal cancer, allowing for direct visualization and biopsy of the colon.
Correct Answer is B
Explanation
A. Systolic murmur: Systolic murmurs occur during systole and include conditions like aortic stenosis or mitral regurgitation.
B. Diastolic murmur: Aortic insufficiency/regurgitation occurs during diastole when the aortic valve fails to close properly, allowing blood to flow back into the left ventricle.
C. Absent murmur: Aortic insufficiency/regurgitation is not classified as absent; it is detectable with auscultation.
D. Very faint murmur: Although aortic regurgitation murmurs can vary in intensity, the classification pertains to the timing of the murmur, not its loudness.
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