A graduate nurse (GN) is caring for a client with acute appendicitis who is awaiting surgery. Which action by the GN would require the precepting nurse to intervene?

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11ecbb05_c9c5_3d22_b433_73335da1f3f4_MD0009_00 Appendicitis is inflammation of the appendix often resulting from obstruction by fecal matter. Appendiceal obstruction traps fluid and mucus typically secreted into the colon, causing increased intraluminal pressure and inflammation. As appendiceal intraluminal pressure and inflammation increase, blood circulation to the appendix is impaired, resulting in swelling and ischemia. These factors increase the risk for appendiceal perforation, a medical emergency, which may lead to peritonitis and sepsis. Appendicitis is often treated surgically via removal of the appendix (ie, appendectomy). Nurses caring for clients with appendicitis should avoid interventions that increase intestinal blood circulation, gut motility, or appendiceal intraluminal pressure. The application of heat to the abdomen (eg, heating pad, warm blanket) increases intestinal circulation and the risk for appendiceal perforation (Option C). (Option A) Pain and nausea may be managed with prescribed IV analgesics (eg, morphine) and antiemetics. (Option B) NPO status and vomiting contribute to dehydration, which frequently requires continuous IV fluids (eg, normal saline) to maintain fluid and electrolyte balance. (Option D) Food and drink increase gastric motility, thereby increasing circulation to the appendix and risk of perforation. The nurse should teach the client about remaining NPO before surgery. Educational objective: Appendicitis is an inflammation of the appendix that often requires surgical treatment. Nurses caring for clients with appendicitis should avoid applying heat to the abdomen as this increases appendiceal swelling and the risk of appendix perforation, which is a medical emergency.

A Graduate Nurse (GN) Is Caring for a Client with Acute