When assessing for appendicitis, what signs might the nurse look for? (Select all that apply.)

Rovsing sign

Obturator sign

Murphy sign

Psoas sign

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Antidepressant: Antidepressants are not typically associated with a high risk of thrombophlebitis.

B. Antihypertensive: Antihypertensives generally do not increase the risk of thrombophlebitis.

C. Oral contraceptive: Oral contraceptives are known to increase the risk of thrombophlebitis due to their effect on blood clotting factors.

D. Antilipid agent: Antilipid agents, such as statins, do not commonly cause thrombophlebitis.

A. Posterior tibial B. Femoral C. Popliteal D. Dorsalis pedis

Correct Answer is A

Explanation

A. Posterior tibial: The posterior tibial pulse is palpated just behind the medial malleolus of the ankle, near the Achilles tendon.
B. Femoral: The femoral pulse is located in the groin area, where the femoral artery passes.
C. Popliteal: The popliteal pulse is palpated behind the knee in the popliteal fossa.
D. Dorsalis pedis: The dorsalis pedis pulse is located on the top of the foot, near the first metatarsal.

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When assessing for appendicitis, what signs might the nurse look for? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 42-year-old woman reveals an intake of medications. Which medication if reported by the client would alert the nurse to the need to assess the client for thrombophlebitis?

Correct Answer is C

Explanation

The nurse assesses the client as shown. What pulse is the nurse assessing?

Correct Answer is A

Explanation

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

A positive Murphy's sign is indicative of?

The nurse refers an older adult client for further evaluation after the nurse assesses warm skin and brown pigmentation around the ankles. The nurse suspects which of the following?

A mitral insufficiency/regurgitation murmur is classified as:

The nurse knows screening test(s) for colorectal cancer detection according to recommendations from the American Cancer Society (2018) includes? (Select all that apply.)

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?

When auscultating a client's heart sounds, the nurse hears a louder S2 when listening at the 2nd intercostal space right sternal border. The nurse determines that this finding is consistent with the closure of which heart valves?

When the nurse is obtaining a health history of the urinary system, the client reports "leaking" urine when coughing or laughing. Which of the following problems is the client likely experiencing?