Which of the following pieces of data is LEAST likely to support the nurse's suspicion that their client has acute appendicitis?

Is lying very still in a fetal position.

Reports "crampy abdominal pain which has now intensified and localized to one side.”.

Reports rhinitis and myalgias.

Didn't feel like eating breakfast.

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is B

Explanation

Choice A rationale

Assessing the client's vital signs is important for monitoring overall health but does not directly address the need to ensure proper IV function before administering medication.

Choice B rationale

Determining if the client's IV is patent is crucial before administering any IV medication. A patent IV ensures the medication will be delivered directly into the bloodstream without complications such as infiltration or blockage.

Choice C rationale

Monitoring the client's white blood count is important for tracking infection or inflammation but is not the immediate step before administering an IV antibiotic.

Choice D rationale

Sending a stool specimen to the laboratory can help diagnose underlying conditions but is not the next step before administering an IV antibiotic.

A. Avoid aspirin products. B. Choose regular coffee instead of herbal tea. C. Eat a diet rich in dairy products. D. Start a smoking cessation program. E. Avoid ibuprofen for pain.

Correct Answer is ["A","D","E"]

Explanation

Choice A rationale

Avoid aspirin products. Aspirin can exacerbate gastrointestinal bleeding and irritation in patients with duodenal ulcers.

Choice B rationale

Choose regular coffee instead of herbal tea. Caffeine, found in regular coffee, can increase stomach acid production and should generally be avoided by those with ulcers.

Choice C rationale

Eat a diet rich in dairy products. Dairy products can increase stomach acid production and may worsen ulcer symptoms.

Choice D rationale

Start a smoking cessation program. Smoking can impair healing and increase stomach acid production, making it important to quit smoking for ulcer management.

Choice E rationale

Avoid ibuprofen for pain. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can irritate the stomach lining and exacerbate ulcers.

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Which of the following pieces of data is LEAST likely to support the nurse's suspicion that their client has acute appendicitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 72-year-old client is admitted to the hospital with a diagnosis of acute exacerbation of diverticulitis. The healthcare practitioner prescribes the IV antibiotic ceftazidime. After confirming the client's allergies, which intervention should the nurse implement NEXT before giving the drug?

Correct Answer is B

Explanation

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Correct Answer is ["A","D","E"]

Explanation

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