A nurse is preparing a client who has acute appendicitis for surgery. Which of the following actions should the nurse take?
Apply a heat pack to the client's lower abdomen.
Place the client in semi-Fowler's position.
Give the client a clear liquid diet.
Administer an enema to the client.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "I will have hot, dry, and flushed skin if I am having a heart attack": This statement is incorrect as it does not accurately reflect typical symptoms of a heart attack. Common symptoms include chest pain, shortness of breath, and possibly cold sweat, not hot, dry, and flushed skin.
B. "I will wait 30 minutes before taking action if I have heartburn": Waiting 30 minutes before taking action is incorrect for angina or heartburn. Immediate action is required for angina symptoms, and heartburn should be differentiated from angina by a healthcare provider.
C. "I will notify emergency response if I have sudden jaw pain": This statement is correct because sudden jaw pain can be a symptom of angina or a heart attack, indicating that immediate medical attention is needed.
D. "I will take four nitroglycerin sublingual tablets if I have chest pain": This statement is incorrect as taking four nitroglycerin tablets is excessive and could be harmful. The standard recommendation is to take one tablet every 5 minutes for up to three doses if chest pain persists, and then seek medical attention.
Correct Answer is D
Explanation
A. "I should consume fish once per week": While consuming fish is beneficial, particularly fatty fish high in omega-3 fatty acids, this alone is not a comprehensive strategy for preventing hypertension.
B. "With a BMI of 30, I should focus on maintaining my current weight": With a BMI of 30, which is classified as obese, the focus should be on reducing weight rather than maintaining it to help prevent hypertension.
C. "I should exercise for 30 minutes three times per week": The recommended amount of exercise for cardiovascular health is at least 150 minutes of moderate-intensity exercise per week, which is more frequent than three times per week.
D. "I should consume no more than 2,000 milligrams of sodium per day": This is correct as reducing sodium intake to no more than 2,000 milligrams per day is a key strategy for preventing and managing hypertension.
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