A nurse is caring for a client who has suspected appendicitis. Which of the following provider prescriptions should the nurse clarify?
Administer sodium biphosphate/sodium phosphate enema
Maintain NPO status.
Medicate the client for pain every 4 hr as needed.
Monitor oral temperature every 4 hr.
The Correct Answer is A
A. Administer sodium biphosphate/sodium phosphate enema: Enemas are contraindicated in suspected appendicitis as they can increase the risk of rupture due to increased pressure in the bowel.
B. Maintain NPO status: Keeping the client NPO is appropriate to prepare for potential surgery.
C. Medicate the client for pain every 4 hr as needed: Pain medication is appropriate and does not mask significant clinical findings in appendicitis.
D. Monitor oral temperature every 4 hr: Monitoring temperature helps detect signs of infection or worsening inflammation, such as rupture or peritonitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Drinks green tea: Green tea is not associated with increased peptic ulcer risk.
B. History of NSAID use: NSAIDs inhibit prostaglandins that protect the stomach lining, increasing the risk for ulcers.
C. History of bulimia: While bulimia may cause esophageal damage, it is not directly associated with peptic ulcers.
D. Has a glass of wine with dinner once a week: Moderate alcohol intake is not strongly linked to peptic ulcers.
Correct Answer is A
Explanation
A. Chronic blood loss: Ulcerative colitis often causes chronic bleeding from the colon, leading to iron-deficiency anemia.
B. Intestinal malabsorption syndrome: While malabsorption can cause anemia, it is not a typical feature of ulcerative colitis.
C. Intestinal parasites: Parasites are not associated with ulcerative colitis but may cause anemia in other conditions.
D. Dietary iron restrictions: Anemia in ulcerative colitis is usually due to blood loss, not dietary insufficiency.
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