A nurse is teaching a group of students about the clinical presentation of appendicitis. What should the nurse emphasize as a hallmark symptom that often occurs in the later stages of appendicitis?

Rebound tenderness in the lower right abdomen

Severe, constant abdominal pain in the lower right quadrant

Low-grade fever and elevated white blood cell count

Diarrhea and frequent bowel movements

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is D

Explanation

A) Incorrect. Applying a heating pad may provide temporary relief but will not address the underlying cause of appendicitis. It is important to seek medical attention.

B) Incorrect. Taking over-the-counter laxatives is not recommended for suspected appendicitis. It is important to seek proper medical evaluation and treatment.

C) Incorrect. Avoiding food and liquids can lead to dehydration and is not recommended. It is important to maintain hydration and seek prompt medical attention.

D) Correct. This option emphasizes the importance of seeking immediate medical attention if the client experiences worsening pain, fever, or vomiting, as these could be signs of a progressing appendicitis and require urgent evaluation and treatment.

A. "Apply hydrogen peroxide to the incision daily to promote healing." B. "Keep the incision site dry and clean, and report any signs of infection promptly." C. "Use adhesive tape to cover the incision to prevent it from getting dirty." D. "Rub antibiotic ointment on the incision to prevent scarring."

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.

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A nurse is teaching a group of students about the clinical presentation of appendicitis. What should the nurse emphasize as a hallmark symptom that often occurs in the later stages of appendicitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is worried about the possibility of appendicitis. What advice should the nurse provide regarding self-care while awaiting medical evaluation?

Correct Answer is D

Explanation

A client who underwent an appendectomy is concerned about the appearance of the surgical incision. What should the nurse advise the client regarding wound care?

Correct Answer is B

Explanation

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