A nurse is admitting a client with suspected appendicitis. Identify where the nurse will palpate to assess for pain at McBurney's point. (Selectable areas, or "Hot Spots," are outlined in the artwork below. Select only the outlined area that corresponds to your answer.)
Left upper quadrant
Right upper quadrant
Right lower quadrant
Left upper quadrant
The Correct Answer is C
Choice A reason:
McBurney's point is a point on the right side of the abdomen that is one-third of the distance from the anterior superior iliac spine to the umbilicus
Choice B reason:
McBurney's point is a point on the right side of the abdomen that is one-third of the distance from the anterior superior iliac spine to the umbilicus
Choice C reason:
McBurney's point is a point on the right side of the abdomen that is one-third of the distance from the anterior superior iliac spine to the umbilicus
Choice D reason:
McBurney's point is a point on the right side of the abdomen that is one-third of the distance from the anterior superior iliac spine to the umbilicus
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
After a Billroth I procedure, where the stomach is anastomosed directly to the duodenum, some patients may experience diarrhea and feelings of fullness due to the direct passage of food into the small intestine without the buffering effect of the pyloric valve.
Choice B reason:
Gastric reflux and belching are not typically associated with a Billroth I procedure.
Choice C reason:
Persistent feelings of hunger and thirst are not common adverse effects associated specifically with a Billroth I procedure.
Choice D reason:
Constipation or bowel incontinence are not typically associated with a Billroth I procedure, as this surgery involves the upper gastrointestinal tract.
Correct Answer is B
Explanation
Choice A reason:
Both ulcerative colitis and Crohn's disease can require surgery in some cases, but it is not a common link that defines both conditions.
Choice B reason:
This is the correct answer. Both ulcerative colitis and Crohn's disease are types of inflammatory bowel disease (IBD). They share the common feature of chronic inflammation of the digestive tract.
Choice C reason:
Fistula formation is more commonly associated with Crohn's disease than ulcerative colitis. It is not a defining characteristic of both conditions.
Choice D reason:
Ulcerative colitis primarily affects the colon and rectum, but Crohn's disease can affect any part of the digestive tract from the mouth to the anus. Therefore, both conditions do not necessarily begin in the rectum.
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