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ATI Medical Surgical Nursing, Care of Patients with Inflammatory Intestinal Disorders

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ATI Medical Surgical Nursing, Care of Patients with Inflammatory Intestinal Disorders 1. The nurse conducts a physical assessment for a client with abdominal pain. Which finding leads the nurse to su... spect appendicitis? a. Severe, steady right lower quadrant (RLQ) pain b. Abdominal pain that started a day after vomiting began c. Abdominal pain that increases with knee flexion d. Marked peristalsis and hyperactive bowel sounds ANS: A Right lower quadrant pain, specifically at McBurney’s point, is characteristic of appendicitis. Usually if nausea and vomiting begin first, the client has a gastroenteritis. Abdominal pain due to appendicitis decreases with knee flexion. Marked peristalsis and hyperactive bowel sounds are not indicative of appendicitis. DIF: Cognitive Level: Knowledge/Remembering REF: p. 1267 TOP: Client Needs Category: Physiological Integrity (Physiological Adaptation—Pathophysiology) MSC: Integrated Process: Nursing Process (Assessment) [Show More]

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