A nurse is planning teaching for a client who has a newly implanted implantable cardioverter-defibrillator.
Which of the following information should the nurse include?

Choice A rationale:

Administering a laxative to a client with acute appendicitis is contraindicated. Laxatives can increase bowel motility, which may aggravate the inflamed appendix and lead to rupture. Rupture of the appendix can result in a life-threatening condition known as peritonitis.

Choice B rationale:

Keeping the client on NPO (nothing by mouth) status is the correct choice. NPO status is essential in the management of acute appendicitis. It helps to rest the bowel, prevents stimulation of the appendix, and decreases the risk of rupture. Oral intake, including food and fluids, is usually restricted until the client undergoes surgery to remove the inflamed appendix (appendectomy).

Choice C rationale:

Placing the client's head of bed flat is not the optimal position for a client with acute appendicitis. Elevating the head of the bed slightly (semi-Fowler's position) can help reduce discomfort and minimize pressure on the abdomen. This position is more comfortable for the client and can aid in pain management.

Choice D rationale:

Applying heat to the client's abdomen is not recommended in acute appendicitis. Heat application can increase blood flow to the area, potentially worsening inflammation and exacerbating pain. Cold packs or ice packs are sometimes used to provide comfort, but their application should be done cautiously to avoid skin damage. However, in many cases, healthcare providers prefer to avoid temperature applications to prevent masking symptoms and signs of worsening appendicitis.

Choice A rationale:

Offering small amounts of clear liquids 6 hours following surgery is generally appropriate, but it doesn't specifically address the child's pain management. Pain control is essential postoperatively, and the best approach is to administer analgesics as prescribed by the healthcare provider.

Choice B rationale:

Applying a warm compress to the operative site once daily can provide comfort and may help reduce localized pain or swelling. However, this alone might not be sufficient for pain management, especially in the immediate postoperative period.

Choice C rationale:

(Correct Choice) Administering analgesics on a scheduled basis for the first 24 hours is essential for managing postoperative pain effectively. Pain can interfere with the child's recovery, breathing, and overall well-being. Scheduled pain medications ensure a consistent level of pain relief, allowing the child to rest and recover more comfortably.

Choice D rationale:

Cromolyn nebulized solution is used to prevent asthma symptoms and allergic reactions. It is not typically indicated for postoperative pain management. Providing appropriate analgesics, as prescribed, is the standard of care for managing pain in a postoperative child.