APPENDICITIS QUESTIONS AND ANSWERS
LATEST UPDATE SOLUTION 2022
What is appendicitis? - ANS-an acute inflammation of the appendix (located in RLQ)
What causes the characteristic abdominal pain? - ANS-blockage of the l
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APPENDICITIS QUESTIONS AND ANSWERS
LATEST UPDATE SOLUTION 2022
What is appendicitis? - ANS-an acute inflammation of the appendix (located in RLQ)
What causes the characteristic abdominal pain? - ANS-blockage of the lumen with
feces and becomes edematous
Who is most at risk for appendicitis? - ANS-individuals between 10 - 30
adolescent males
What assessment findings will the nurse expect with appendicitis? - ANS-- Nausea
and vomiting; anorexia
- Cramping/dull abdominal pain around preiumbilical area
- As the pain progress, it moves to the RLQ (McBurneys Point)
Abdominal pain most intense at McBurney's Point***
- Rebound tenderness at McBurney's Point (pain after deep pressure is
applied/relieved);
- abdominal rigidity
- Low grade fever (100 - 101)
- Elevated WBC
What position will the client most likely be in with appendicitis? - ANS-side-lying with
abdominal guarding and legs flexed
What type of pain is an indicator of peritonitis? - ANS-pain relieved by right hip
flexion; but increases with coughing/movement
Appendicitis: Lab Tests - ANS-mild to moderate elevation of WBC (up to 20,000)
What lab may indicate peritonitis? - ANS-WBC count >20,000
Appendicitis: What diagnostic tests will the nurse anticipate to be ordered for a client
with appendicitis? - ANS-Ultrasound ---> shows enlargement of appendix
Abdominal CT ----> diagnostic if manifestations are prolonged/recurrent
Appendicitis: Treatment - ANS-IV fluids - to prevent dehydration
Antibiotics
Appendectomy - laprascopic; open
What should the nurse administer pre-operatively with appendectomy? - ANSAdminister IV fluids/antibiotics as prescribed
What diet must the patient adhere to prior to the appendectomy? - ANS-Maintain
NPO to prevent GI stimulation
What position should the nurse help the client in for an appendectomy? Why? - ANS-
- low to semi-fowlers position; or right-side lying
- to contain abdominal drainage in the abdomen and promote comfort
What should the nurse avoid giving to the client prior to an appendectomy? - ANSAvoid laxatives/enemas
Avoid application of heat to the abdomen
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