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 history of gastrointestinal bleeding"
"Being a non-smoker"
"Having a history of ulcerative colitis"
"Enterobius vermicularis infection"
The Correct Answer is D
A. A history of gastrointestinal bleeding is not directly linked to an increased risk of appendicitis; it usually indicates other gastrointestinal conditions such as ulcers or hemorrhoids.
B. Being a non-smoker does not influence the risk of developing appendicitis; smoking status is not a recognized predisposing factor.
C. Ulcerative colitis affects the colon but is not a common predisposing factor for appendicitis, which primarily involves inflammation of the appendix.
D. Enterobius vermicularis infection (pinworm) can cause obstruction or inflammation of the appendix and is recognized as a potential predisposing factor for appendicitis, particularly in children.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Rebound tenderness in the lower right abdomen is a hallmark symptom that often occurs in the later stages of appendicitis. It indicates peritoneal irritation and is a sign of potential appendix perforation.
B) Incorrect. While severe, constant abdominal pain in the lower right quadrant is a characteristic symptom of appendicitis, it may occur in both early and later stages.
C) Incorrect. A low-grade fever and elevated white blood cell count are indicative of an inflammatory response and may occur in the later stages of appendicitis, but they are not as specific as rebound tenderness.
D) Incorrect. Diarrhea and frequent bowel movements are not typically associated with appendicitis. Constipation is a more common gastrointestinal symptom in this condition.
Correct Answer is B
Explanation
A) Incorrect. Applying a heating pad directly to the incision site can increase the risk of burns or other complications. It is not recommended for post-operative pain management.
B) Correct. Taking prescribed pain medication as directed by the healthcare provider is an essential component of post-operative pain management. This ensures adequate pain relief and promotes comfort during the recovery period.
C) Incorrect. Avoiding pain medication is not recommended, especially after surgery. Pain management is important for the client's comfort and well-being during the recovery process.
D) Incorrect. While deep breathing exercises can be helpful for relaxation, they are not a substitute for prescribed pain medication, particularly in the immediate post-operative period.
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