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Appendicitis Exam Questions with Complete Solutions
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Appendicitis Exam Questions with Complete Solutions
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Appendicitis Exam Questions withComplete Solutions
A 16-year-old female client is brought to the emergency department experiencing
severe right lower quadrant abdominal pain. In addition to appendicitis, which other
health problems will the nurse also assess for during the examination? - Answer-Pelvic
Inflammatory Disease
Ectopic Pregnancy
Mittelschmerz
-In adolescent and young adult females, the symptoms of appendicitis must be
differentiated from the pain of ovulation or mittelschmerz, possible ruptured ectopic
pregnancy, and pelvic inflammatory disease. A fecalith is one cause for appendicitis. A
kidney stone will not cause severe right lower quadrant abdominal pain.
The nurse is caring for a client is admitted for a burst appendix. Which information is
appropriate for the nurse to provide to this client? - Answer-Antibiotic medication will be
provided before and after the surgery.
A laparoscopic appendectomy will be performed.
A laparotomy will be performed.
Intravenous fluids will be provided.
Pain medication will be provided after the surgery.
-For a burst appendix, a laparotomy will be performed. The client will receive antibiotics
before and after the surgery to prevent the development of infection from fecal contents,
which have spilled into the abdominal cavity. Intravenous fluids will be provided to
maintain fluid and electrolyte balance. Pain medication will be provided after the
surgery. (A laparoscopic appendectomy is performed for clients whose appendix has
not burst.)
The nurse is evaluating teaching provided to a client with chronic appendicitis. Which
observation indicates that teaching has been effective? - Answer-Client eats fruit with
breakfast and a salad for lunch
-Chronic appendicitis has periods of exacerbation. Ingesting foods with high fiber
content, such as fresh fruits and vegetables, can help to decrease the incidence of
fecaliths and subsequent bouts of acute appendicitis. Exercise, sleep, and social
activities will not help reduce the risk of developing acute appendicitis.
The nurse is preparing to conduct a physical examination on a client experiencing
vague abdominal pain. What should the nurse include in this assessment? - Answer-
When conducting the physical assessment on a client with appendicitis, the nurse
, should include abdominal contour, current body temperature, characteristics of bowel
sounds, and whether the client is experiencing tenderness to light palpation. Blood in
the stool is not an area to assess in the client with appendicitis.
The nurse is identifying goals of care with a client seeking treatment for appendicitis.
Which outcomes are appropriate for the nurse to include in the plan of care? - Answer-
Goals of care for a client with appendicitis should focus on treatment approaches and
the client's response. For appendicitis, surgery will most likely be performed, so goals
should focus on answering questions about the surgical procedure, healing of the
wound without infection, maintaining fluid and electrolyte balance, and relieving
abdominal pain with medication. Perfusion status is not a priority problem for the client
with appendicitis.
A client with severe right lower quadrant abdominal pain says that the pain has
suddenly stopped. Which nursing interventions are appropriate for this client? - Answer-
A sudden reduction in abdominal pain in appendicitis could indicate that the appendix
has ruptured. The nurse needs to anticipate care for a ruptured appendix and potential
peritonitis by notifying the physician, preparing the client for surgery to remove the
appendix, expecting intravenous antibiotics to be prescribed, and expect intravenous
fluids to be prescribed for fluid resuscitation.
the appendix - Answer-a pouch that is attached to the cecum below the ileocecal valve.
It is located in the right iliac region in the area called McBurney's point.
simple appendicitis - Answer-The appendix is inflamed but intact.
gangrenous - Answer-The appendix has areas of tissue necrosis and microscopic
perforations.
perforated - Answer-The appendix has ruptured, and the peritoneal cavity is
contaminated with gastrointestinal contents.
fecalith - Answer-a hard mass of feces
-obstruction that can cause appendicitis
risk factors for fecaliths - Answer-adolescent males
diet low in fiber, hi in carbs
gi infections
first manifestation - Answer-continuous, mild, generalized pain or upper abdominal pain.
The pain intensifies over the next 4 hours and localizes in the right lower abdominal
quadrant. The pain is aggravated by moving, walking, or coughing.
pregnant client - Answer-periumbilical or right subcostal pain can occur because the
appendix is displaced by the expanding uterus.
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