Your patient presents with symptoms that lead you to suspect acute appendicitis. Which assessment finding is least likely to be associated with this condition?

a. Positive psoas sign
b. Positive McBurney sign
c. Consistent right lower quadrant (RLQ) pain
d. Rebound tenderness


C
A positive psoas sign, McBurney point pain, rebound tenderness, and periumbilical pain that mi-grates to the RLQ are signs of appendicitis. The absence of pain migration makes appendicitis less likely.

Nursing

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What would be included in the plan of care for a child just returned to the floor from surgery in which a clubfoot was repaired? (Select all that apply.)

a. Keep cast uncovered to allow drying. b. Check toes for capillary refill. c. Circle with a pen any area of bleeding on the cast. d. Keep casted leg lowered. e. Observe for skin irritation.

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When planning care for patients on the mental health unit, which statement will the nurse consider as using principles associated with the humanistic theory?

1. Emotional stress has a holistic relationship to physical symptoms. 2. Patients rely on providers to develop solutions for their problems. 3. The mind-body relationship focuses on biological explanations of illness. 4. Clinical interventions are most effective when they focus on the current actions, feelings, and concerns of clients.

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Three members of the therapy group share covert glances as other members of the group bring up

problems. One of them often makes a statement that subtly puts down another speaker or takes exception to a comment by the group leader. The others then nod in agreement. The group leader should suspect the occurrence of a. cohesiveness. b. confrontation. c. subgrouping. d. countertransference.

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Symptoms that a person suffering a sleep-pattern disturbance may experience include:

a. decreased irritability, pain and fatigue. b. increased irritability, lack of energy and insomnia. c. decreased irritability, lack of energy and insomnia. d. increased irritability, lack of energy and fatigue.

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