A patient with suspected appendicitis is being prepared for surgery. Which of the following preoperative interventions should the nurse prioritize?
Apply a heating pad to the abdomen
Administer a cleansing enema
Administer oral analgesics as needed
Place the patient on NPO status
The Correct Answer is D
A. Apply a heating pad to the abdomen: This is incorrect and potentially harmful, as applying heat to the abdomen can increase blood flow and worsen inflammation or risk rupture of the appendix.
B. Administer a cleansing enema: Enemas should not be administered for suspected appendicitis as they may cause irritation and increase the risk of perforation.
C. Administer oral analgesics as needed: Oral analgesics are contraindicated since the patient should be NPO, and strong pain relief might mask the symptoms of a ruptured appendix.
D. Place the patient on NPO status: The highest priority preoperative intervention is to place the patient on NPO (nothing by mouth) status to prevent aspiration during anesthesia, a standard preoperative practice, especially for abdominal surgeries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Low back pain: While this can be a symptom of a UTI, it is not unique to older adults and can be seen in various age groups.
B. Confusion: In older adults, UTIs often present with atypical symptoms, such as confusion or delirium, rather than the classic symptoms like dysuria or frequency. This can be a sign of infection in this population.
C. Urinary retention: This is not specific to UTIs in older adults and can occur for other reasons, such as benign prostatic hyperplasia (BPH).
D. Incontinence: Although older adults may experience incontinence, it is not a unique sign of UTI and could be related to other conditions like weakened pelvic muscles.
Correct Answer is A
Explanation
A. A low-fat diet: A low-fat diet is recommended for clients with chronic cholecystitis to reduce the workload on the gallbladder and prevent biliary colic, which can be triggered by the digestion of fats.
B. A low-sodium diet: While a low-sodium diet may be recommended for other conditions, it is not specifically indicated for biliary colic or cholecystitis.
C. A high-fiber diet: Although fiber is beneficial for overall health, it does not directly prevent biliary colic related to cholecystitis.
D. A high-protein diet:A high-protein diet is not recommended for biliary colic. Fat content is the primary concern, not protein.
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