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. Pulmonic and tricuspid: The tricuspid valve's closure is not primarily audible at the 2nd intercostal space right sternal border; it is better heard at the lower left sternal border.

B. Mitral and aortic: The mitral valve is best heard at the apex of the heart, not the 2nd intercostal space right sternal border.

C. Aortic and pulmonic: The 2nd intercostal space right sternal border is the area where the aortic and pulmonic valves are auscultated. The louder S2 here indicates the closure of these valves, with the aortic valve being the primary source of sound in this area.

D. Tricuspid and mitral: These valves are best heard at other locations, with the tricuspid valve near the lower left sternal border and the mitral valve at the apex.

A. ST segment B. QRS complex C. T wave D. P wave

Correct Answer is C

Explanation

A. ST segment: Represents the period between ventricular depolarization and repolarization.

B. QRS complex: Represents ventricular depolarization.

C. T wave: Indicates ventricular repolarization, or relaxation, after the QRS complex.

D. P wave: Represents atrial depolarization.

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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

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?

Correct Answer is C

Explanation

A group of nurses is reviewing several electrocardiograms (ECGs). The students demonstrate an understanding of the waveforms when they identify which component as indicating ventricular repolarization (relaxation).

Correct Answer is C

Explanation

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

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

During chest auscultation, the nurse hears a quiet murmur immediately upon placing the stethoscope on the client's chest. The nurse interprets this as which grade?