A client is being discharged after an appendectomy. What should the nurse advise the client regarding wound care?

"Keep the incision site open to air to promote healing."

"Apply hydrogen peroxide to the incision site daily to prevent infection."

"Clean the incision site gently with soap and water, and cover it with a clean, dry dressing."

"Avoid touching the incision site to prevent irritation."

Answer and Explanation

The Correct Answer is C

A) Incorrect. Keeping the incision site open to air is not recommended. It should be covered with a clean, dry dressing to prevent infection.

B) Incorrect. Applying hydrogen peroxide to the incision site daily can be too harsh and may hinder the healing process. It is not a standard practice for wound care.

C) Correct. Cleaning the incision site gently with soap and water and then covering it with a clean, dry dressing is the recommended approach for wound care after an appendectomy.

D) Incorrect. It is important for the client to gently clean the incision site as part of wound care. Avoiding touching the site altogether is not necessary, but the hands should be clean when doing so.

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Correct Answer is B

Explanation

A) Incorrect. While chronic abdominal pain can be a complication of appendicitis, the primary concern with delayed surgery is the risk of appendix rupture.

B) Correct. Without timely intervention, an inflamed appendix may rupture, leading to the spread of infection and potentially serious complications like peritonitis.

C) Incorrect. Appendicitis typically does not resolve on its own without intervention.

D) Incorrect. Delaying surgery is not recommended, as it increases the risk of appendix rupture and the spread of infection. Prompt surgical intervention is crucial.

A. Nausea and loss of appetite B. Rebound tenderness in the lower right abdomen C. Fever and elevated white blood cell count D. Severe, constant abdominal pain in the lower right quadrant

Correct Answer is A

Explanation

A) Correct. In the early stages of appendicitis, inflammation leads to irritation of the abdominal lining, resulting in symptoms like nausea and loss of appetite.

B) Incorrect. Rebound tenderness is a later sign of appendicitis and may not be present in the early stages.

C) Incorrect. Fever and an elevated white blood cell count typically occur as the infection progresses, which is a later stage of appendicitis.

D) Incorrect. Severe, constant abdominal pain in the lower right quadrant is a classic symptom, but it tends to develop after the initial nausea and loss of appetite.

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A client is being discharged after an appendectomy. What should the nurse advise the client regarding wound care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client wants to understand why appendicitis is considered a surgical emergency. What should the nurse explain about the potential complications if surgery is delayed?

Correct Answer is B

Explanation

A nurse is discussing the progression of appendicitis with a group of students. What should the nurse emphasize as an early symptom related to the pathophysiology of this condition?

Correct Answer is A

Explanation

A client is being discharged after an appendectomy. What should the nurse advise the client regarding wound care?

A client with confirmed appendicitis asks the nurse about the recommended treatment. What should the nurse explain as the primary intervention for appendicitis?

A client who underwent an appendectomy is concerned about the appearance of the surgical incision. What should the nurse advise the client regarding wound care?

A client is concerned about the possibility of developing an infection after appendectomy surgery. What should the nurse instruct the client to do to reduce the risk of infection?

A nurse is providing education about appendicitis risk factors to a group of clients. Which factor should the nurse emphasize as a potential predisposing condition for appendicitis?

A client is concerned about the risk of appendicitis and asks the nurse for advice. What should the nurse include as a potential risk factor for this condition?

A client with suspected appendicitis asks the nurse about the location of the pain. What should the nurse explain about the typical location of appendicitis-related pain?

A nurse is explaining the diagnostic process for appendicitis to a group of students. What should the nurse emphasize as a purpose of performing a physical examination?