A nurse collecting data from a client who has manifestations of appendicitis. Where should the nurse palpate to monitor for pain at McBurney's point? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Answer and Explanation

The Correct Answer is "{\"xRanges\":[83.109375,104.109375],\"yRanges\":[119.5,140.5]}"

Draw an imaginary line connecting the ASIS to the umbilicus.

McBurney's point is located one-third of the distance along this line, starting from the ASIS and moving towards the umbilicus.

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Correct Answer is A

Explanation

A. Urinary tract infection: Dysuria (painful urination) and urgency are common symptoms of urinary tract infection (UTI) in children.
B. Nephrotic syndrome: Nephrotic syndrome typically presents with proteinuria, edema, and hypoalbuminemia, not dysuria and urgency.
C. Acute glomerulonephritis: Acute glomerulonephritis may present with hematuria, proteinuria, hypertension, and edema, but not typically with dysuria and urgency.
D. Vesicoureteral reflux: Vesicoureteral reflux may present with recurrent UTIs but is not typically associated with dysuria and urgency as primary symptoms.

A. "Give your infant an oral rehydration solution." B. "You might want to try switching to a different formula." C. "Bring your infant into the clinic today to be seen." D. "Burp your child more frequently during feedings."

Correct Answer is C

Explanation

A. "Give your infant an oral rehydration solution." While rehydration is important, projectile vomiting could indicate a more serious underlying issue that needs medical evaluation.
B. "You might want to try switching to a different formula." Formula intolerance is less likely to cause projectile vomiting. A change in formula should not be suggested without ruling out more serious conditions first.
C. "Bring your infant into the clinic today to be seen." Projectile vomiting in an infant, especially when followed by hunger, can indicate pyloric stenosis, a condition that requires prompt medical evaluation. The infant should be seen by a healthcare provider to determine the cause and initiate appropriate treatment.
D. "Burp your child more frequently during feedings." Burping can help with regular gas and minor feeding issues, but it is unlikely to resolve projectile vomiting.

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A nurse collecting data from a client who has manifestations of appendicitis. Where should the nurse palpate to monitor for pain at McBurney's point? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 6-year-old child with daytime enuresis complains of dysuria and urgency. What does the nurse recognize these signs and symptoms indicate?

Correct Answer is A

Explanation

A nurse working at a clinic speaks on the telephone with a parent of a 2-month-old infant. The parent tells the nurse that the infant has projectile vomiting followed by hunger after meals. Which of the following responses by the nurse is appropriate?

Correct Answer is C

Explanation

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