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?

"Avoid washing your hands to prevent introducing germs to the incision site."

"Change your wound dressing daily with unwashed hands."

"Keep the incision site dry and clean, and report any signs of infection promptly."

"Avoid any physical activity to prevent opening the incision."

Answer and Explanation

The Correct Answer is C

A) Incorrect. Avoiding handwashing can actually increase the risk of infection. It is important to maintain good hand hygiene to reduce the introduction of germs.

B) Incorrect. Changing the wound dressing with unwashed hands can introduce germs and increase the risk of infection. Hands should be clean before handling the incision site.

C) Correct. Keeping the incision site dry and clean is essential for preventing infection. Additionally, promptly reporting any signs of infection, such as increased redness, swelling, or drainage, allows for early intervention.

D) Incorrect. While some physical activity may need to be limited, avoiding all physical activity is not necessary. It is important to follow healthcare provider guidance on activity restrictions.

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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.

A. "Apply a heating pad to the lower abdomen to alleviate the pain and inflammation." B. "Take over-the-counter laxatives to promote bowel movements and relieve discomfort." C. "Avoid eating any solid foods until the pain subsides." D. "Seek immediate medical attention if you experience worsening pain, fever, or vomiting."

Correct Answer is D

Explanation

A) Incorrect. Applying a heating pad may provide temporary relief but will not address the underlying cause of appendicitis. It is important to seek medical attention.

B) Incorrect. Taking over-the-counter laxatives is not recommended for suspected appendicitis. It is important to seek proper medical evaluation and treatment.

C) Incorrect. Avoiding solid foods may lead to dehydration and is not recommended. It is important to maintain hydration and seek prompt medical attention.

D) Correct. This option emphasizes the importance of seeking immediate medical attention if the client experiences worsening pain, fever, or vomiting, as these could be signs of a progressing appendicitis and require urgent evaluation and treatment.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

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 curious about how appendicitis develops. What should the nurse explain about the underlying process of appendicitis?

A client is interested in understanding potential risk factors for appendicitis. What should the nurse include as a significant risk factor related to gender?

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?

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 nurse is teaching a group of students about the signs and symptoms of appendicitis. What should the nurse emphasize as a common early symptom of 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 educating a group of students about the post-operative care of a client who underwent an appendectomy. What should the nurse emphasize as a priority in the immediate post-operative period?