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. "Blood tests can directly visualize the inflamed appendix." B. "Blood tests help to confirm the diagnosis of appendicitis." C. "Blood tests provide information about infection markers and inflammation in the body." D. "Blood tests are primarily used to assess gastrointestinal motility."

Correct Answer is C

Explanation

A) Incorrect. Blood tests do not directly visualize the inflamed appendix. They provide information about markers of infection and inflammation in the body.

B) Incorrect. While blood tests can support the diagnosis of appendicitis, they do not confirm it on their own. They provide additional information to aid in the diagnostic process.

C) Correct. Blood tests, specifically white blood cell count and C-reactive protein levels, provide valuable information about infection markers and inflammation in the body. Elevated levels may suggest the presence of an inflammatory process like appendicitis.

D) Incorrect. Blood tests are not primarily used to assess gastrointestinal motility. They are focused on assessing markers of infection and inflammation.

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

Correct Answer is C

Explanation

A nurse is discussing the use of ultrasound in diagnosing appendicitis. What should the nurse explain about the advantages of ultrasound in this context?

A client is worried about the possibility of appendicitis. What advice should the nurse provide regarding self-care while awaiting medical evaluation?

A client is interested in understanding how an infection in the appendix leads to appendicitis. What should the nurse explain about this process?

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?

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 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 teaching a group of students about the clinical presentation of appendicitis. What should the nurse emphasize as a hallmark symptom that often occurs in the later stages of appendicitis?

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?