Inflammation Exam 3

Question 1

Signs and symptoms of Appendicitis?

Answer 1

RLQ pain
dull pain around the navel

Question 2

Signs and symptoms of pancreatitis?

Answer 2

epigastric pain radiating to the back and left flank or left shoulder

Question 3

Signs and symptoms of bowel perforation?

Answer 3

severe pain all over the abdomen

Question 4

Signs and symptoms of diverticulitis?

Answer 4

LLQ pain

Question 5

Signs and symptoms of lower GI bleed and cirrhosis?

Answer 5

Abdominal pain and distention

Question 6

signs and symptoms of other acute abdominal pain?

Answer 6

N/V
diarrhea
constipation
tachycardia

Question 7

What are the nursing interventions for acute abdominal pain?

Answer 7

Pain control!!
Most patients will be on an NPO diet

Question 8

What are the clinical manifestations of appendicitis?

Answer 8

RLQ dull pain around the navel (point of McBurney’s)
loss of appetite
N/V
spiked fever
want to be in fetal position
in extreme pain, nothing alleviates
if pain suddenly stops = appendix has ruptured and abdominal cavity needs to be washed out

Question 9

What diagnostics are used for appendicitis?

Answer 9

CT: shows inflammation
Blumburg’s sign: rebound tenderness

Question 10

What are the priority interventions for appendicitis?

Answer 10

NO pain meds (pain needs to be evaluated)
go to OR for appendectomy
DON’T give laxatives, enemas, opioids, or heat bc it increases the risk for rupture

Question 11

What are the complications associated with the rupture of the appendix?

Answer 11

peritonitis
increased HR, RR, temp
rigid board-like abdomen

Question 12

What should you educate your patient about after the appendectomy?

Answer 12

There will be excessive drainage bc irrigation is used in surgery to wash out the abdominal cavity