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. This statement provides incorrect information about appendicitis. It describes cholecystitis, an inflammation of the gallbladder.

B) Correct. This statement accurately describes appendicitis as an inflammation of the appendix, a small pouch located in the lower right side of the abdomen. This condition can lead to serious complications if not promptly treated.

C) Incorrect. This statement describes a condition involving ulcers in the stomach lining, which is not appendicitis.

D) Incorrect. This statement describes gastroenteritis, an infection of the small intestine, which is different from appendicitis.

A. "The infection triggers an allergic reaction in the appendix, leading to inflammation." B. "The infection causes blockage of the appendix, leading to increased pressure and inflammation." C. "The infection weakens the appendix wall, resulting in dilation and inflammation." D. "The infection directly damages the nerves in the appendix, causing pain and inflammation."

Correct Answer is B

Explanation

A) Incorrect. Appendicitis is primarily caused by infection and subsequent inflammation, not an allergic reaction.

B) Correct. An infection can lead to the obstruction of the appendix, causing an increase in pressure within the appendix. This increased pressure leads to inflammation and the characteristic symptoms of appendicitis.

C) Incorrect. While infection can lead to inflammation and dilation of the appendix, the primary mechanism is obstruction due to the infection.

D) Incorrect. The infection itself does not directly damage the nerves in the appendix. The pain associated with appendicitis is a result of the inflammation and increased pressure.

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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 is experiencing abdominal pain and seeks advice from the nurse. What information should the nurse provide regarding appendicitis?

Correct Answer is B

Explanation

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

Correct Answer is B

Explanation

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 client is experiencing abdominal discomfort and is concerned about the possibility of appendicitis. What symptom should the nurse emphasize as a common early sign of appendicitis?

A nurse is providing discharge instructions to a client who underwent an appendectomy. What should the nurse include in the instructions regarding activity restrictions?

A client who underwent an appendectomy is concerned about the possibility of developing complications. What symptom should the client be instructed to report immediately to the healthcare provider?

A client asks the nurse about the purpose of a urine test in the evaluation of appendicitis. What should the nurse explain about the relevance of a urine test in this context?

A nurse is providing education to a client prior to appendectomy surgery. What should the nurse include as an important post-operative instruction regarding diet?

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