APPENDICITIS QUESTIONS AND ANSWERS LATEST UPDATE SOLUTION 2022

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...