Nokea
Which quadrant of the abdomen is tender in suspected appendicitis?
- A. upper right
- B. upper left
- C. lower right
- D. lower left
Correct Answer: C
Rationale: The correct quadrant for tenderness in suspected appendicitis is the lower right quadrant (Choice C). This is because the appendix is located in the lower right abdomen. Appendicitis typically presents with pain starting around the navel and then localizing to the lower right quadrant. The other choices, upper right (Choice A), upper left (Choice B), and lower left (Choice D) are incorrect as they do not correspond to the typical location of the appendix. Upper right quadrant is where the liver and gallbladder are situated, upper left quadrant contains the stomach and spleen, and lower left quadrant has the colon and left ovary/testis.
You may also like to solve these questions
A nurse is teaching a patient with asthma about managing asthma attacks. Which of the following statements by the patient indicates proper understanding?
- A. I should use my inhaler when I feel an asthma attack coming on.
- B. I should wait until my symptoms worsen before using my inhaler.
- C. I should use my inhaler only when I am feeling short of breath.
- D. I can skip using my inhaler if I feel fine.
Correct Answer: A
Rationale: Correct Answer: A
Rationale: Using the inhaler when feeling an asthma attack coming on allows for prompt relief by opening airways. Waiting for symptoms to worsen (B) can lead to a severe attack. Using the inhaler only when short of breath (C) may delay treatment. Skipping the inhaler when feeling fine (D) can be dangerous if an attack occurs suddenly. Answer A ensures timely intervention for effective asthma management.
A nurse is teaching a patient with diabetes about managing blood glucose levels. Which of the following statements by the patient indicates the need for further education?
- A. I will monitor my blood glucose levels regularly.
- B. I will exercise regularly to help manage my condition.
- C. I will stop taking my insulin once my blood glucose is normal.
- D. I will eat a balanced diet and avoid sugary foods.
Correct Answer: C
Rationale: The correct answer is C. Stopping insulin once blood glucose is normal is incorrect as insulin is crucial for managing diabetes even when blood glucose levels are within the target range. Insulin helps regulate blood sugar levels consistently, and stopping it abruptly can lead to hyperglycemia. Choices A, B, and D are correct statements indicating good diabetes management practices. Monitoring blood glucose levels, exercising regularly, and following a balanced diet are essential for controlling blood sugar levels and overall health.
The nurse is conducting a physical assessment. The data the nurse would collect vary depending on what?
- A. How much time the nurse has
- B. The client's acuity
- C. The client's cooperation
- D. Onset of current symptoms
Correct Answer: B
Rationale: Step 1: The nurse should prioritize collecting data based on the client's acuity to address immediate needs and ensure patient safety.
Step 2: Acuity determines the urgency and intensity of care required, guiding the assessment focus.
Step 3: Time available or client cooperation may influence the depth of assessment but do not dictate the data collected.
Step 4: The onset of symptoms is important for history-taking but not the primary factor in determining assessment data.
What is the first intervention when a client develops symptoms of shock?
- A. Administer oxygen
- B. Administer IV fluids
- C. Monitor respiratory rate
- D. Administer pain medication
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen. Oxygen administration is the first intervention for shock as it helps improve oxygenation to vital organs. Lack of oxygen can worsen shock. Administering IV fluids (choice B) could be the second step to improve perfusion. Monitoring respiratory rate (choice C) is important but not the first intervention. Administering pain medication (choice D) is not a priority in managing shock.
What assessment framework provides additional modesty for clients, such as teenage girls?
- A. Body systems
- B. Functional
- C. Focused
- D. Head to toe
Correct Answer: D
Rationale: The correct answer is D: Head to toe. This assessment framework allows for modesty by assessing one body part at a time, starting from the head down to the toe. This approach ensures clients, especially teenage girls, feel comfortable and respected during the assessment process. Other choices like A (Body systems) involve assessing multiple body parts simultaneously, potentially compromising modesty. Functional assessment (B) focuses on assessing specific functions rather than individual body parts, which may not address the modesty concern. Focused assessment (C) targets a specific area of concern, which may not provide a comprehensive evaluation while also potentially overlooking modesty concerns.