Which of the following is most likely?
Chris is a 20-year-old college student who has had abdominal pain for 3 days. It started at his umbilicus and was associated with nausea and vomiting. He was unable to find a comfortable position. Yesterday, the pain became more severe and constant. Now, he hesitates to walk, because any motion makes the pain much worse. It is localized just medial and inferior to his iliac crest on the right.
A) Peptic ulcer
B) Cholecystitis
C) Pancreatitis
D) Appendicitis
D) Appendicitis
This is a classic history for appendicitis. Notice that the pain has changed from visceral to parietal. It is well localized to the right lower quadrant, making appendicitis a strong consideration.
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A patient with thyroid cancer undergoes a thyroidectomy. After surgery, the patient develops peripheral numbness and tingling and muscle twitching and spasms. The nurse should expect to administer:
A) A thyroid supplement B) An antispasmodic C) A barbiturate D) IV calcium gluconate
The nurse is working in the emergency department interacting with clients of various disease processes and injuries. When completing a head-to-toe assessment, which standard assessment technique is most important?
A) Complete the assessment in a structured format. B) Instruct the client on what you will be doing. C) Maintain standard precautions throughout the exam. D) Ask permission to complete an assessment.
When a HoverMattâ transfer and repositioning device is used,
A. four workers are needed to assist the patient with transfers. B. each worker lifts no more than 50 pounds. C. the patient is likely to slip off the mattress during transfers. D. never leave the patient alone on an inflated mattress.
The husband of a patient with Grave disease confides that he is frustrated with his wife's emotional outbursts and wide mood swings. How should the nurse respond?
a. "I understand how you feel." b. "Antithyroid drugs usually help regulate mood swings after a few weeks." c. "I'm afraid this behavior will continue. How are you coping with it now?" d. "Have you told her how you feel?"