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A nurse is preparing a client who has acute appendicitis for surgery. Which of the following actions should the nurse take?

A.

Apply a heat pack to the client's lower abdomen.

B.

Place the client in semi-Fowler's position.

C.

Give the client a clear liquid diet.

D.

Administer an enema to the client.

Answer and Explanation

The Correct Answer is B

A. Apply a heat pack to the client's lower abdomen: This is incorrect as applying heat can worsen inflammation and increase the risk of rupture; ice packs are generally used instead.
B. Place the client in semi-Fowler's position: This is correct as the semi-Fowler's position helps reduce pain and pressure on the abdomen and can improve comfort before surgery.
C. Give the client a clear liquid diet: This is incorrect as a clear liquid diet is not appropriate for a client with acute appendicitis who may require NPO (nothing by mouth) status prior to surgery.
D. Administer an enema to the client: This is incorrect as enemas are contraindicated in acute appendicitis due to the risk of perforation and worsening of the condition.
 


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Related Questions

Correct Answer is D

Explanation

A. Have the client drink contrast medium: This is incorrect as contrast medium is typically not required for an esophagogastroduodenoscopy (EGD); it is used for other types of imaging studies.
B. Shave the client from axillae to groin: This is incorrect; shaving is not necessary for an EGD procedure.
C. Administer a cleansing enema: This is incorrect as an enema is generally not required for an EGD, which focuses on the upper gastrointestinal tract.
D. Ensure the signed consent is in the medical record: This is correct as ensuring that the consent form is signed and documented is crucial for legal and procedural reasons before performing an EGD.

Correct Answer is C

Explanation

A. Presence of gag reflex: This is normal after a bronchoscopy as the gag reflex indicates that the client is recovering from sedation.
B. Sore throat: This is a common and expected finding after a bronchoscopy due to irritation of the throat.
C. Facial edema: This is correct as facial edema may indicate an allergic reaction or complication, and it should be reported to the provider immediately.
D. Blood pressure 110/78 mm Hg: This is within the normal range and does not typically require reporting unless there are other symptoms present.

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