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학습 자료 둘러보기 →The immediate nursing priority is to maintain the patient in a position of comfort, typically side-lying with hips flexed, to reduce abdominal tension and peritoneal irritation.
Local heat application is contraindicated as it causes vasodilation, increases blood flow, and can accelerate inflammation, raising the risk of rupture.
Do not administer laxatives or enemas; they increase peristalsis and intraluminal pressure, which can precipitate perforation.
Avoid all gastrointestinal stimulation. Keep the patient NPO and on bed rest until surgical evaluation. Monitor for signs of perforation: sudden pain relief followed by diffuse, severe pain, a rigid abdomen, and signs of shock such as tachycardia and hypotension.
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