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.
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Related Questions
Correct Answer is C
Explanation
A) Incorrect. While some restrictions on physical activity are necessary, avoiding all activity for two weeks is overly restrictive and not typically recommended.
B) Incorrect. Resuming normal activities immediately after surgery is not advisable. There should be a gradual return to regular activities based on the healthcare provider's guidance.
C) Correct. After an appendectomy, clients are generally advised to avoid heavy lifting and strenuous activities for a period of 4-6 weeks to allow for proper healing.
D) Incorrect. Engaging in vigorous exercise immediately after surgery can be detrimental to the healing process and may lead to complications. Gradual return to exercise is advised under healthcare provider guidance.
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.
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