Your patient has abdominal pain, and it is worsened when the examiner rotates the patient's right hip inward with the knee bent and the obturator internus muscle is stretched. This is a sign of:
A. Diverticulitis
B. Cholecystitis
C. Appendicitis
D. Mesenteric adenitis
ANS: C
A positive obturator sign indicates appendicitis. Pain is elicited by inward rotation of the right hip with the knee bent so that the obturator internus muscle is stretched.
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A child is sent to the school nurse for assessment because she comes to school every day disheveled, unbathed, and hungry. The assessment does not indicate any bruises or marks on the body. What do these finding indicate?
a. Sexual abuse b. Physical abuse c. Physical neglect d. Emotional abuse
The nurse explains that use of stimulants will decrease hyperactivity in the autistic child. What is a negative aspect of stimulants?
a. Sedating the child b. Impairing cognition c. Causing hypotension d. Creating fluid retention
A 26-year-old male admits to unprotected sexual activity with men. He complains of pain in the left scrotal region and burning on urination that started 2 days ago. The scrotum is swollen and tender to palpation
A urethral discharge is evident. Pain decreases with elevation of the left scrotum. There is no pain on DRE. These are signs of: A. Testicular torsion B. Testicular cancer C. Epididymitis D. Prostatitis
Four hours after receiving risperidone (Risperdal), the patient on the psychiatric unit has a temperature elevation of 2? F. What is the nurse's best action?
a. Administer the next dose of the drug as prescribed. b. Assess the patient for other signs and symptoms of infection. c. Hold the next drug dose and notify the prescriber immediately. d. Attempt to arouse the patient from sleep by gently shaking his or her arm.