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 A

Explanation

A) Correct. If appendicitis is left untreated, the inflamed appendix can eventually rupture or perforate, leading to the spread of infection and potential development of peritonitis.

B) Incorrect. Without intervention, appendicitis typically does not resolve on its own. Instead, it can lead to complications.

C) Incorrect. The appendix does not typically reduce in size over time without treatment. In fact, it can become more inflamed and enlarged.

D) Incorrect. While the immune system does respond to the infection, untreated appendicitis can lead to serious complications, including perforation, rather than strengthening the immune system.

A. Mild, intermittent abdominal pain that lasts for several days B. Severe, constant abdominal pain that migrates from the navel to the lower right abdomen C. Occasional bloating and gas after meals D. Muscle soreness in the upper back

Correct Answer is B

Explanation

A) Incorrect. Mild, intermittent abdominal pain that lasts for several days may be a sign of various conditions, but it is not the characteristic presentation of appendicitis.

B) Correct. Severe, constant abdominal pain that starts around the navel and then migrates to the lower right abdomen is a classic symptom of appendicitis. This requires prompt medical attention.

C) Incorrect. Occasional bloating and gas after meals are not specific symptoms of appendicitis.

D) Incorrect. Muscle soreness in the upper back is not typically associated with appendicitis. It may be indicative of other issues.

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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 nurse is educating a group of students about the pathophysiology of appendicitis. What should the nurse emphasize as a potential consequence of untreated appendicitis?

Correct Answer is A

Explanation

A nurse is instructing a client on when to seek immediate medical attention for possible appendicitis. What should the nurse include as a crucial symptom that requires prompt evaluation?

Correct Answer is B

Explanation

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?

A client is worried about the possibility of appendicitis. What self-care advice should the nurse provide to the client?

A nurse is assessing a client with suspected appendicitis. Which symptom should the nurse recognize as a potential indication of appendix perforation?

A client asks the nurse about the role of blood tests in diagnosing appendicitis. What should the nurse explain about the purpose of these tests?

A client with suspected appendicitis asks the nurse about the diagnostic tests that may be performed. What test is considered the most definitive in diagnosing appendicitis?

A client is curious about potential risk factors for developing appendicitis. What should the nurse explain as a common risk factor?

A nurse is providing post-operative care to a client after an appendectomy. What is a priority intervention to prevent complications in the immediate post-operative period?

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