Question

A nurse in an emergency department is caring for a client who has appendicitis. Which of the following actions should the nurse take?

A) Restrict oral intake to clear fluids
B) Place a heating pad on the client's abdomen
C) Place the client in semi-Fowler's position
D) Administer an enema

Answer 1

When caring for a client with appendicitis, the nurse should restrict oral intake to clear fluids and place the client in semi-Fowler's position. The nurse should not administer an enema or place a heating pad on the client's abdomen.

Step-by-step explanation:

When caring for a client with appendicitis, the nurse should take the following actions:

1. Administer an enema: Administering an enema is not recommended for a client with appendicitis, as it can potentially rupture the appendix.
2. Restrict oral intake to clear fluids: This is the correct action to take, as restricting oral intake helps minimize the risk of aspiration and keeps the client's stomach empty in preparation for possible surgery.
3. Place a heating pad on the client's abdomen: Placing a heating pad on the client's abdomen is not recommended, as it may increase inflammation and worsen the client's condition.
4. Place the client in semi-Fowler's position: Placing the client in semi-Fowler's position helps promote comfort and optimal breathing.