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Appendicitis Exam Questions and Answers
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Appendicitis Exam Questions and Answers
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Appendicitis Exam Questions andAnswers
A client is admitted to the hospital with an elevated temperature, nausea, and pain and
tenderness in the lower right quadrant of the abdomen. After receiving pain medication,
the client continues to complain of pain at a level of 8 on a 0-10 pain scale. The client is
not scheduled to receive pain medications for at least another 2 hours. Given these
circumstances, which statement by the nurse is most appropriate?
A) "I will inform the healthcare provider about your continued pain."
B) "I don't have any medication ordered for you at this time."
C) "Try to rest for a while longer until it is time to receive your medication."
D) "Let's try a heating pad or warm blanket to see if that helps with your discomfort." -
Answer-A) "I will inform the healthcare provider about your continued pain."
The client's inability to achieve comfort will need to be reported to the physician. The
reported manifestations are consistent with appendicitis, so the client is at risk for
perforation, which is manifested by increased pain. The use of heat to manage the pain
is contraindicated due to the risk of perforation. Advising the client that no medications
are available at this time and encouraging rest do not meet the concerns being
presented by the client.
A client with acute abdominal pain is scheduled for an appendectomy in 3 hours. While
waiting for the surgery, the client reports that the pain has subsided. In this scenario,
what is the priority action by the nurse?
A) Determine when the client can be medicated for pain.
B) Contact the surgery department.
C) Contact the healthcare provider.
D) Notify the nursing supervisor. - Answer-C) Contact the healthcare provider.
The pain relief being experienced by the client is consistent with rupture of the
appendix. In the case of suspected rupture, the healthcare provider should be notified
immediately, because if the appendix has ruptured, the client's risk for peritonitis will
increase. The next time the client can be medicated for pain is not relevant in this
situation. Notification of the surgery department and the nursing supervisor should not
be completed before contacting the healthcare provider.
An adult female client develops signs and symptoms of appendicitis during the night.
The client is brought to the emergency department by her family. Which nursing
intervention is the most culturally sensitive for this client?
A) Ask the healthcare provider who should assess the client.
B) Ask for a female healthcare provider to assess the client.
C) Ask for a male healthcare provider to assess the client.
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