List the pathophysiology processes involved in appendicitis in ...

[bobypop]

List the pathophysiology processes involved in appendicitis in sequential order.
 
  A) The appendix becomes distended with fluid secreted by its mucosa.
  B) Obstruction of the proximal lumen of the appendix is apparent.
  C) Purulent exudate formed causes further distention of the appendix.
  D) Pressure within the lumen of the appendix increases.
  E) Tissue necrosis and gangrene result.

Question 2

The nurse is caring for a client who was admitted to the hospital 1 day prior with cholelithiasis. Which new assessment finding indicates the stone has probably obstructed the common bile duct?
 
  A) Nausea and vomiting
  B) Jaundice
  C) Right upper quadrant (RUQ) pain
  D) Elevated cholesterol level

[peilian]

Answer to Question 1

Answer: B, A, D, C, E

Obstruction of the proximal lumen of the appendix is apparent in most acutely inflamed appendices. Following obstruction, the appendix becomes distended with fluid secreted by its mucosa. Pressure within the lumen of the appendix increases, impairs its blood supply, and leads to inflammation, edema, ulceration, and infection. The purulent exudate formed causes further distention of the appendix. If treatment is not initiated, tissue necrosis and gangrene result within 24-36 hours, leading to perforation (rupture).

Answer to Question 2

Answer: B

Nausea and RUQ pain occur in cystic duct disease, but obstruction of the common bile duct results in reflux of bile into the liver, which produces jaundice. Cholesterol levels do not increase with biliary obstruction.

[bobypop]

Thank you

[peilian]

No problemo