While assessing the abdomen, the clinician deeply palpates the left lower quadrant of the abdomen, and this causes pain in the patient's right lower abdomen. This is most commonly indicative of:

A. Constipation
B. Diverticulitis
C. Appendicitis
D. Hepatitis


ANS: C
Appendicitis is suggested by a positive Rovsing's sign. This sign is positive when there is referred rebound pain in the right lower quadrant when the examiner presses deeply in the left lower quadrant and then quickly releases the pressure.

Nursing

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A patient states she has taken megadoses of vitamin E for 3 months to improve her circulation but thinks she feels somewhat worse. Which action should the nurse take first?

a. Assess the patient for symptoms and signs of toxicity from excess vitamin exposure. b. Note that research has not shown that vitamin megadoses produce any benefits. c. Explain to the patient that megadoses may actually be harmful and advise caution. d. Assess for signs of circulatory impairment to determine whether improvement has occurred.

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To avoid anaphylactic reactions in children, which question would be most important to ask a parent before administering penicillin to her infant?

A) "Has she ever had penicillin before?" B) "Is there any family history of allergy to penicillin?" C) "What do you give her to alleviate itching?" D) "Do you have a telephone to call us immediately if she develops trouble breathing?"

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A nurse suspects that a postpartum client has mastitis. Which data support this assessment? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

1. Shooting pain between breastfeedings 2. Late onset of nipple pain 3. Pink, flaking, pruritic skin of the affected nipple 4. Nipple soreness when the infant latches on 5. Pain radiating to the underarm area from the breast

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Which interaction is part of the discharge plan for a school-age child with osteomyelitis who is receiving home antibiotic therapy?

a. Instructions for a low-calorie diet b. Arrangements for tutoring and schoolwork c. Instructions for a high-fat, low-protein diet d. Instructions for the parent to return the child to team sports immediately

Nursing