Which clinical manifestation would most suggest acute appendicitis?
Abdominal pain that is most intense at McBurney point
Rebound tenderness
Abdominal pain that is relieved by eating
Bright red or dark red rectal bleeding
The Correct Answer is A
Choice A reason: Abdominal pain that is most intense at McBurney point is a classic sign of acute appendicitis. McBurney point is located about two-thirds of the way from the navel to the right hip bone. It is the site of the base of the appendix, where the inflammation is most severe. The pain usually starts around the navel and then shifts to the lower right abdomen. The pain may worsen with movement, coughing, or pressure.
Choice B reason: Rebound tenderness is a symptom of peritonitis, which is a complication of acute appendicitis. Peritonitis is an inflammation of the lining of the abdominal cavity, which can occur if the appendix ruptures and spills its contents. Rebound tenderness is a sharp pain that occurs when the abdomen is quickly released after being gently pressed. It indicates irritation of the peritoneum, the membrane that covers the abdominal organs.
Choice C reason: Abdominal pain that is relieved by eating is not a typical feature of acute appendicitis. In fact, appendicitis may cause loss of appetite, nausea, and vomiting. Eating may worsen the pain by stimulating the digestive tract and increasing the pressure on the appendix.
Choice D reason: Bright red or dark red rectal bleeding is not a common manifestation of acute appendicitis. It may indicate other conditions, such as hemorrhoids, anal fissures, diverticulitis, ulcerative colitis, or colon cancer. Rectal bleeding may occur in some cases of appendicitis if the inflammation affects the cecum, the first part of the colon, but it is usually not bright or dark red.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Making the patient NPO (nothing by mouth) is not an appropriate intervention for CHF. NPO status may be indicated for other reasons, such as before surgery or certain tests, but it does not address the fluid overload or poor cardiac function that causes CHF.
Choice B reason: Administering diuretics is a common and effective intervention for CHF. Diuretics help reduce the excess fluid in the body and lungs, which improves breathing and lowers blood pressure. Diuretics also decrease the workload of the heart and prevent further damage to the cardiac muscles.
Choice C reason: Administering antipyretics is not a specific intervention for CHF. Antipyretics are used to lower fever, which may or may not be present in CHF. Fever may indicate an infection, which can worsen CHF, but antipyretics alone do not treat the underlying cause of the infection or the CHF.
Choice D reason: Providing IV bolus is not a recommended intervention for CHF. IV bolus is a rapid infusion of fluid or medication into the bloodstream. This may increase the fluid volume and pressure in the body and lungs, which can exacerbate CHF and cause pulmonary edema. IV bolus may be used for other conditions, such as hypovolemic shock or dehydration, but not for CHF.
Correct Answer is D
Explanation
Choice A reason: This is not a correct statement, as treatment for atopic dermatitis includes keeping the skin moist, not dry. Dry skin can worsen the itching and inflammation of eczema. Moisturizers, emollients, and topical steroids can help hydrate and protect the skin¹.
Choice B reason: This is not a correct statement, as there is no cure for atopic dermatitis. It is a chronic condition that can flare up and subside over time. Treatment can help control the symptoms and prevent complications, but it cannot eliminate the disease¹.
Choice C reason: This is not a correct statement, as atopic dermatitis is not directly associated with upper respiratory tract infections. However, some infants with atopic dermatitis may also have asthma or allergic rhinitis, which can increase the risk of respiratory infections².
Choice D reason: This is the correct statement, as atopic dermatitis is associated with allergy with a hereditary tendency. It is a type of hypersensitivity reaction that involves the immune system and the skin barrier. It is more common in infants who have a family history of eczema, asthma, or hay fever¹².
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