# A client with suspected appendicitis is awaiting surgical evaluation. Which instruction is most appropriate?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=393883&lang=en  
> language: en  
> subject: Complications of Procedures  
> category: ROR

## Question

A client with suspected appendicitis is awaiting surgical evaluation. Which instruction is most appropriate?

## Option

1. Apply a heating pad to the right lower abdomen.
2. Take a laxative to relieve abdominal pressure.
3. Remain NPO and report worsening pain or fever. **✔ Correct answer**
4. Begin a high-fiber meal to promote bowel movement.

**Correct answer: 3**

## 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.

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