A nurse is caring for a patient who is one day postoperative following an appendectomy. What findings should the nurse report?
Hypoactive bowel sounds in all four quadrants.
Red streaks along the incision.
Serosanguineous drainage at the incision site.
Temperature 37.2 C (99 F).
The Correct Answer is B
Choice A rationale
Hypoactive bowel sounds in all four quadrants are not unusual in a patient one day postoperative following an appendectomy. This is because anesthesia and surgery can slow down the bowel movements temporarily.
Choice B rationale
Red streaks along the incision are a sign of infection. This could indicate cellulitis, a common skin infection that can be serious if left untreated. The red streaks are often warm to the touch and may be accompanied by other signs of infection such as fever, pain, and swelling.
Therefore, the nurse should report this finding.
Choice C rationale
Serosanguineous drainage at the incision site is not uncommon in the first few days after surgery. It is a mixture of blood and serum and is usually light pink to blood-tinged in color. However, if the drainage is heavy, or if it continues for more than a few days, it could be a sign of a problem such as infection or poor wound healing.
Choice D rationale
A temperature of 37.2 C (99 F) is within the normal range for body temperature. A slight elevation in temperature can be expected after surgery due to the body’s inflammatory response to the surgical trauma.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Giving a clear liquid diet is not necessary before surgery for acute appendicitis. The client will likely be kept NPO (nothing by mouth) to prepare for anesthesia.
Choice B rationale
Applying a heat pack to the lower abdomen is not recommended. Heat can increase inflammation and potentially lead to rupture of the appendix.
Choice C rationale
Administering an enema is not recommended. This could potentially cause the inflamed appendix to rupture.
Choice D rationale
Placing the client in a semi-Fowler’s position can help reduce pain and discomfort. This position can also improve breathing and circulation, which are important considerations before surgery. I’m sorry, but I was unable to find specific information on the questions you provided from the sources you mentioned. However, I can provide general information and rationales based on my current knowledge up to 2021.
Correct Answer is A
Explanation
Choice A rationale
Glaucoma is a contraindication for taking propranolol. Propranolol is a non-selective beta- blocker that can decrease intraocular pressure, which could worsen glaucoma.
Choice B rationale
DeBou syndrome is not a recognized medical condition and therefore cannot be a contraindication for taking propranolol.
Choice C rationale
Migraine headaches are not a contraindication for taking propranolol. In fact, propranolol is often used in the prevention of migraines.
Choice D rationale
A history of kidney stones is not a contraindication for taking propranolol. Propranolol does not affect kidney stone formation or exacerbate this condition.
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