During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse recognizes that this finding could indicate a problem with which organ?

Sigmoid

Liver

Appendix

Gallbladder

Answer and Explanation

The Correct Answer is C

A.   The sigmoid is a part of the large intestine located in the left lower quadrant, so tenderness in the right lower quadrant is unlikely to be related to the sigmoid.
B.   The liver is situated higher in the abdomen, typically more towards the right upper quadrant, and its tenderness wouldn't manifest in the right lower quadrant.
C.   Tenderness in the right lower quadrant is a classic sign of appendicitis, suggesting inflammation of the appendix.
D.   The gallbladder is positioned closer to the liver, in the right upper quadrant, and wouldn't typically cause tenderness in the right lower quadrant.

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Correct Answer is A

Explanation

A. 4+ edema is characterized by very deep pitting, where the indentation remains for an extended period (several minutes), indicating severe fluid accumulation in the tissue.
B. Deep pitting that lasts for a few minutes is more consistent with 2+ or 3+ edema, not the severe 4+ edema described.
C. Mild pitting with no perceptible swelling does not align with 4+ edema; this level of pitting suggests minimal fluid accumulation.
D. Moderate pitting where the indentation subsides rapidly is indicative of 2+ edema, not the profound swelling described as 4+ edema.

A. Observing for facial symmetry B. Checking the pupillary response to light C. Testing visual acuity D. Eliciting the gag reflex

Correct Answer is B

Explanation

A. Observing for facial symmetry is more related to Cranial Nerve VII (Facial nerve) function.
B. Cranial Nerve III (Oculomotor nerve) controls the pupillary response to light, as well as eye movement.
C. Testing visual acuity is associated with Cranial Nerve II (Optic nerve).
D. Eliciting the gag reflex involves the Cranial Nerve IX (Glossopharyngeal nerve) and Cranial Nerve X (Vagus nerve).

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During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse recognizes that this finding could indicate a problem with which organ?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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