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?

"Apply hydrogen peroxide to the incision daily to promote healing."

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

"Use adhesive tape to cover the incision to prevent it from getting dirty."

"Rub antibiotic ointment on the incision to prevent scarring."

Answer and Explanation

The Correct Answer is B

A) Incorrect. Hydrogen peroxide can be too harsh for wound care and may hinder the healing process. It is not recommended for routine use on surgical incisions.

B) Correct. Keeping the incision site clean and dry is essential for preventing infection. The client should also be instructed to promptly report any signs of infection, such as increased redness, swelling, or drainage.

C) Incorrect. Adhesive tape may be used in some cases, but it is not the primary method for wound care. Keeping the incision clean and dry is more important.

D) Incorrect. While antibiotic ointment may be prescribed by the healthcare provider, it should be used as directed and not rubbed onto the incision indiscriminately.

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Correct Answer is B

Explanation

A) Incorrect. While sharp, stabbing pain in the lower right abdomen is a characteristic symptom of appendicitis, it tends to develop as the condition progresses.

B) Correct. Nausea and loss of appetite are common early symptoms of appendicitis. Inflammation in the early stages can lead to irritation of the abdominal lining, resulting in these symptoms.

C) Incorrect. Severe, constant pain radiating to the back is not a typical early sign of appendicitis. This type of pain is more commonly associated with other conditions.

D) Incorrect. Feeling bloated and experiencing excessive gas are not specific early signs of appendicitis. These symptoms may be present in various digestive conditions.

A. Rebound tenderness in the lower right abdomen B. Severe, sudden-onset abdominal pain in the upper abdomen C. Diarrhea and frequent bowel movements D. Nausea and loss of appetite

Correct Answer is D

Explanation

A) Incorrect. Rebound tenderness in the lower right abdomen is a later sign of appendicitis and may not be present in the early stages.

B) Incorrect. Severe, sudden-onset abdominal pain in the upper abdomen is not a typical early symptom of appendicitis. The pain usually starts around the navel and then migrates to the lower right abdomen.

C) Incorrect. Diarrhea and frequent bowel movements are not typically associated with early-stage appendicitis.

D) Correct. Nausea and loss of appetite are common early symptoms of appendicitis. As inflammation progresses, other symptoms like abdominal pain and tenderness may develop.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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?

Correct Answer is D

Explanation

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

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

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?

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