The nurse is monitoring a patient recovering from an emergency appendectomy.
Which finding is most concerning?

Absence of bowel sounds

A centimeter spot of bloody drainage on the dressing

Abdomen rigid on palpation

Pain at the operative site .

Answer and Explanation

The Correct Answer is C

Choice A rationale
Absence of bowel sounds can be a normal finding post-operatively and is not necessarily a cause for concern.
Choice B rationale
A small amount of bloody drainage on the dressing is not uncommon after surgery and is not typically a cause for concern.
Choice C rationale
A rigid abdomen on palpation is a concerning finding after an appendectomy. It could indicate peritonitis, a serious infection of the abdominal cavity that can occur if the appendix burst before or during surgery.
Choice D rationale
Pain at the operative site is expected after an appendectomy. However, severe or increasing pain could indicate a complication and should be evaluated by a healthcare provider.

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Correct Answer is A

Explanation

Choice A rationale
Jaundice, a common symptom of cholecystitis, is a yellow discoloration of the skin and whites of the eyes (sclera) caused by an excess of bilirubin in the blood. The sclera is often the first place where jaundice is noticeable because the high amount of elastin in the sclera binds to bilirubin, causing a yellowish discoloration.
Choice B rationale
While nail beds can sometimes show signs of certain health issues, they are not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.
Choice C rationale
The periumbilical area (around the belly button) is not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.
Choice D rationale

The webbed areas of the fingers are not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.

A. Magnetic resonance imaging (MRI) B. Endoscopic retrograde cholangiopancreatography (ERCP) C. Esophagogastroduodenoscopy (EGD) D. Barium swallow .

Correct Answer is ["B","C","D"]

Explanation

Choice A rationale
While some MRI scans may require fasting, it is not universally required for all MRI scans. The need for fasting depends on the specific type of scan and the contrast material used.
Choice B rationale
Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure that combines upper gastrointestinal (GI) endoscopy and x-rays to treat problems of the bile and pancreatic ducts. It often requires fasting before the procedure.

Choice C rationale
Esophagogastroduodenoscopy (EGD) is a procedure that examines the lining of the esophagus, stomach, and upper duodenum with a small camera (endoscope) which is inserted down the throat. It requires fasting before the procedure.
Choice D rationale
A barium swallow is a type of test used to look at the esophagus, the tube that connects the mouth to the stomach. It requires fasting before the procedure.

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The nurse is monitoring a patient recovering from an emergency appendectomy. Which finding is most concerning?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a patient who is African American and has cholecystitis. Which of the following areas should the nurse inspect to monitor for the presence of jaundice?

Correct Answer is A

Explanation

When teaching patients about diagnostic procedures, the nurse should instruct them to fast and restrict fluids prior to which of these tests? (Select all that apply)

Correct Answer is ["B","C","D"]

Explanation

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The nurse is monitoring a patient recovering from an emergency appendectomy.
Which finding is most concerning?