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 D

Explanation

A) Incorrect. Severe, constant abdominal pain in the lower right quadrant is indicative of appendicitis, but it does not specifically indicate perforation.

B) Incorrect. While an elevated heart rate and blood pressure may be present in response to pain or infection, they are not specific indications of appendix perforation.

C) Incorrect. Rebound tenderness in the lower right abdomen is an important clinical sign of appendicitis but is not specific to perforation.

D) Correct. Fever and signs of sepsis, including an elevated temperature, increased heart rate, and other systemic symptoms, can indicate the presence of infection due to appendix perforation.

A. "The pain is usually felt in the upper left abdomen, near the stomach." B. "The pain is typically located in the lower left abdomen, near the sigmoid colon." C. "You'll feel the pain in the lower right abdomen, near the right hip bone." D. "The pain is usually centered in the upper right abdomen, near the liver."

Correct Answer is C

Explanation

A) Incorrect. The pain associated with appendicitis is not typically felt in the upper left abdomen near the stomach.

B) Incorrect. The lower left abdomen near the sigmoid colon is not the typical location for appendicitis-related pain.

C) Correct. The characteristic location of pain in appendicitis is in the lower right abdomen, near the right hip bone. This is a key clinical feature used in assessment.

D) Incorrect. The pain of appendicitis is not typically centered in the upper right abdomen near the liver.

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

Correct Answer is D

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?

Correct Answer is C

Explanation

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

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 recovering from an appendectomy asks the nurse about pain management. What should the nurse instruct the client to do for effective pain relief?

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

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?