Which of the following is consistent with obturator sign?
A) Pain distant from the site used to check rebound tenderness
B) Right hypogastric pain with the right hip and knee flexed and the hip internally rotated
C) Pain with extension of the right thigh while the patient is on her left side or while pressing her knee against your hand with thigh flexion
D) Pain that stops inhalation in the right upper quadrant
B) Right hypogastric pain with the right hip and knee flexed and the hip internally rotated
Obturator sign is seen in appendicitis. It is pain with the stretching of the internal obturator muscle because of inflammation. Pain distant from the site used to check rebound tenderness is Rovsing's sign and is a reliable sign of peritonitis. Answer “C” describes psoas sign, which is also seen in appendicitis. Palpation in the right upper quadrant that causes pain severe enough to stop inhalation is consistent with inflammation of the gallbladder and is called Murphy's sign.
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The nurse is assisting with teaching a clinic patient who is diagnosed with tension headaches. Which explanation of tension headaches should the nurse provide?
a. "Tension headaches are caused by stress, which causes cerebral vessel constriction." b. "Tension headaches result from release of pain mediators in the periphery." c. "Tension headaches are a result of stress and sustained muscle contraction of the head and neck." d. "Tension headaches are caused by blood sugar fluctuations that result from excessive stress."
Trailing zeros should be placed on quantities to avoid misinterpretation of a value. _____
ANS:
The nurse is caring for a patient who has developed severe constipation. What rationale does the nurse have for why the patient has also lost his or her appetite?
A) Ileogastric reflex B) Intestinal–intestinal reflex C) Peritoneointestinal reflex D) Renointestinal reflex
The patient is exhibiting abnormal posturing to stimuli. Which findings would the nurse document as decerebrate posturing? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. The arms are rigidly extended. 2. The toes are pointed downward. 3. The teeth are clenched. 4. The chin is held against the chest. 5. The arms are hypersupinated.