What clinical manifestation should be the most suggestive of acute appendicitis?
a. Rebound tenderness
b. Bright red or dark red rectal bleeding
c. Abdominal pain that is relieved by eating
d. Colicky, cramping, abdominal pain around the umbilicus
ANS: D
Pain is the cardinal feature. It is initially generalized, usually periumbilical. The pain becomes constant and may shift to the right lower quadrant. Rebound tenderness is not a reliable sign and is extremely painful to the child. Bright or dark red rectal bleeding and abdominal pain that is relieved by eating are not signs of acute appendicitis.
You might also like to view...
In addition to auscultation of fetal heartbeat and visualization of the fetus, which of these is a positive sign of pregnancy?
a. positive urine pregnancy test c. palpation of fetal movement b. Braxton Hicks contractions d. Goodell's sign
A nurse is caring for a client with acute renal failure who has had a femoral vein cannulation for hemodialysis access. For what complication of this procedure should the nurse remain alert?
A. Ascites B. Hematoma C. Skin necrosis D. Renal artery occlusion
A patient with chronic obstructive pulmonary disease uses a metered-dose inhaler (MDI). Which information does the nurse give the patient to ensure he receives the maximum benefit of the glucocorticoids administered by an MDI?
a. Administer two puffs of medication in rapid succession. b. Maintain a firm seal with lips around the mouthpiece of the inhaler. c. Dispense the glucocorticoids 30 seconds after a bronchodilator. d. Instruct the patient to press the MDI after breathing in and out deeply.
What is the patient's MAP from the BP reading above and how is it calculated?
What will be an ideal response?