A client with suspected appendicitis is awaiting surgical ev… | MyMerci
Complications of ProceduresROR
Question
A client with suspected appendicitis is awaiting surgical evaluation. Which instruction is most appropriate?
1Apply a heating pad to the right lower abdomen.
2Take a laxative to relieve abdominal pressure.
3Remain NPO and report worsening pain or fever.✓ Correct answer
4Begin a high-fiber meal to promote bowel movement.
Explanation
A client with suspected appendicitis is kept NPO in preparation for possible surgery and monitored for worsening pain, fever, or signs of perforation. Heat, laxatives, and foods that stimulate bowel activity can increase risk and are avoided. The priority is surgical evaluation and prevention of complications.
In-depth explanation
Clinical Judgment Suspected appendicitis is a surgical-risk scenario: keep the client NPO and avoid actions that may increase perforation risk.
Memory Tip No heat, no laxatives, no food.
KR vs US NCLEX abdominal pain questions often test what to avoid before definitive diagnosis.
Clinical scenario
Clinical Practice Guide Suspected appendicitis requires prompt evaluation and monitoring for perforation, peritonitis, fever, and worsening pain.
Caution Do not delay evaluation by treating the pain as simple constipation.
Key concepts
Appendicitis — Inflammation of the appendix that can progress to perforation.
NPO — Nothing by mouth, often used before procedures or surgery.
Perforation — A rupture or hole in an organ wall that can spread infection into the abdomen.