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Appendicitis
1.
A nurse is caring for a client who has undergone an appendectomy. The client begins to show signs of fever, increasing abdominal pain, and a rigid abdomen. What complication should the nurse suspect?
Correct Answer:
c) peritonitis
Rationale:
A postoperative client presenting with fever, increasing abdominal pain, and a rigid abdomen is showing signs of peritonitis, which is a potential complication of appendicitis, especially if the appendix has ruptured. Wound infection would likely show localized signs around the surgical site, and gastroenteritis typically does not cause a rigid abdomen. A urinary tract infection would present with urinary symptoms
2.
A client recovering from an appendectomy asks when they can resume normal activities. What is the most appropriate response by the nurse?
Correct Answer:
b) "avoid any strenuous activities for 4-6 weeks."
Rationale:
Clients recovering from an appendectomy are generally advised to avoid strenuous activities, including heavy lifting, for about 4-6 weeks to allow for adequate healing. Light activities may be resumed earlier, depending on the client’s condition and the type of surgery (open or laparoscopic). Bed rest is not necessary, and immediate return to full activities is not recommended
3.
The nurse is preparing a client with suspected appendicitis for diagnostic testing. Which diagnostic test is the gold standard for confirming the diagnosis?
Correct Answer:
c) ct scan
Rationale:
A CT scan is the gold standard for diagnosing appendicitis due to its high sensitivity and specificity. Ultrasound may be used as an initial diagnostic tool, especially in children and pregnant women, but it is not as definitive as a CT scan. Abdominal X-rays and MRIs are not typically first-line diagnostic tools for appendicitis
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