The nurse is assessing a client in the Emergency Department with complaints of right lower quadrant pain. The nurse determines that the client is exhibiting a positive psoas sign
The nurse accurately suspects that which of the following conditions or problems may be occurring? Standard Text: Select all that apply. 1. Constipation
2. Appendicitis
3. Cholecystitis
4. Small bowel obstruction
5. Peritonitis
2,5
Rationale 1: Constipation. Constipation is not typically associated with a positive psoas sign.
Rationale 2: Appendicitis. A positive psoas sign is indicative of irritation of the psoas muscle and is associated with appendicitis.
Rationale 3: Cholecystitis. The client with cholecystitis may exhibit a positive Murphy's sign.
Rationale 4: Small bowel obstruction. The client with a small bowel obstruction may exhibit abnormal bowel sounds.
Rationale 5: Peritonitis. A positive psoas sign is indicative of irritation of the psoas muscle and is associated with peritoneal inflammation.
You might also like to view...
Puberty usually occurs between the ages of 12 and 16
a. True b. False
What part of the peripheral vascular system has the major control of BP?
a) veins b) capillaries c) arteries d) arterioles
Which statements are true about aging and the brain? (Select all that apply.)
a. Most areas of the brain do not lose brain cells. b. Memory decline is inevitable as people age. c. Basic intelligence remains unchanged with age. d. The brain does not continue to make new brain cells.
The laboratory supervisor states, "I would like to collaborate with nursing services to improve the way they order laboratory tests." What is the error in this statement?
1. Laboratory supervisors should have no influence on nursing service. 2. An integrated delivery system centers on the client's health needs, not on the particular care given by one group. 3. The issues between laboratory services and nursing services are generally related to the way orders are written by physicians. 4. Collaboration cannot occur between disciplines in a hospital.