The nurse is caring for a client who presents with acute appendicitis:

Exhibits

Select all that apply?

Creatinine, 0.9 mg/dL

White blood cell count, 11,500 mm"

BUN 26 mg/dL.

Reports of pain increasing while coughing

Potassium 3.3 mEq/L

Nausea and vomiting

Answer and Explanation

Correct Answer : B,C,D,E

Choice A rationale: This is a normal value, indicating normal renal function. The client does not have any signs of kidney damage or impairment.

Choice B rationale: This is an elevated value, indicating an infection or inflammation in the body. Acute appendicitis is a common cause of increased white blood cells, as the appendix becomes inflamed and infected. This finding requires immediate follow-up to monitor the client's condition and prevent complications such as perforation or peritonitis.

Choice C rationale: This is a high value, indicating impaired renal function or dehydration. The client may have decreased urine output due to vomiting and fluid loss, or may have underlying kidney problems. This finding requires immediate follow-up to assess the client's hydration status and renal function, and to provide appropriate fluid and electrolyte replacement.

Choice D rationale: This is a sign of peritoneal irritation, which may indicate that the appendix has ruptured or is close to rupturing. This is a medical emergency that requires immediate surgical intervention to remove the appendix and prevent sepsis and shock.

Choice E rationale: This is a low value, indicating hypokalemia or low potassium levels in the blood. The client may have lost potassium due to vomiting and fluid loss, or may have underlying electrolyte imbalances. This finding requires immediate follow-up to assess the client's cardiac function and muscle strength, and to provide appropriate potassium supplementation.

Choice F rationale: These are common symptoms of acute appendicitis, as the inflammation and infection of the appendix cause irritation of the gastrointestinal tract. These symptoms do not require immediate follow-up, but they should be managed with antiemetics and fluids to prevent dehydration and electrolyte imbalances.

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Correct Answer is B

Explanation

Choice A rationale: Bell's palsy is not caused by a bacterial infection; hence, antibiotics are not the primary treatment.

Choice B rationale: Corticosteroids like prednisone are often used to reduce inflammation and improve symptoms in Bell's palsy.

Choice C rationale: While vitamins can support overall health, they are not the primary treatment for Bell's palsy.

Choice D rationale: Surgery is not the primary treatment for Bell's palsy unless certain complications arise.

A. Auscultation. B. Percussion. C. Light palpation. D. Deep palpation.

Correct Answer is A

Explanation

Choice A rationale: After visual inspection, the next step typically involves auscultation, which allows the nurse to listen for bowel sounds and gather information about

gastrointestinal function.

Choice B rationale: Percussion involves tapping the abdomen to assess density or abnormal masses but usually follows auscultation.

Choice C rationale: Palpation, both light and deep, follows percussion in the sequence of an abdominal examination.

Choice D rationale: Similar to light palpation, deep palpation follows auscultation and percussion in the sequence of an abdominal examination.

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The nurse is caring for a client who presents with acute appendicitis: Exhibits Select all that apply?

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Naxlex Comprehensive Predictor Exams

You are working in a Family Practice office. A patient comes into the office with right facial drooping. The physician makes a diagnosis of Bell's palsy. You know that the primary treatment for this disease is likely to include:

Correct Answer is B

Explanation

The nurse completes visual inspection of a client's abdomen. What technique should the nurse perform next in the abdominal examination?

Correct Answer is A

Explanation

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The nurse is caring for a client who presents with acute appendicitis: Exhibits Select all that apply?

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The nurse is caring for a client who presents with acute appendicitis:

Exhibits

Select all that apply?