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?
Monitoring for signs of infection
Encouraging early ambulation
Administering IV antibiotics
Administering opioid pain medication as needed
The Correct Answer is A
A) Correct. In the immediate post-operative period after an appendectomy, it is crucial to closely monitor the client for signs of infection, such as fever, increased pain, and abnormal wound drainage.
B) Incorrect. While early ambulation is important for preventing complications after surgery, in the immediate post-operative period, monitoring for signs of infection takes precedence.
C) Incorrect. Administering IV antibiotics may be part of the post-operative care plan, but it is not the top priority. Monitoring for signs of infection is more critical.
D) Incorrect. Administering pain medication is important for managing pain, but it is not the top priority in the immediate post-operative period. Monitoring for signs of infection takes precedence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
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.
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