Difficulty: Medium
Average Score: 92%
Simulated
A nurse is assessing a client who is postoperative following an appendectomy. Which of the following findings indicates a potential complication?
Correct answer
B
Rationale
The correct answer is B: Absence of bowel sounds. This finding indicates a potential complication post-appendectomy as it may suggest paralytic ileus, a condition where the bowel stops functioning properly. Absence of bowel sounds can lead to further complications such as bowel obstruction.
A: Mild pain at the incision site is common post-surgery and does not necessarily indicate a complication.
C: Urine output of 150 mL/hr is within the normal range and does not suggest a complication.
D: Temperature of 37.2┬░C (99┬░F) is slightly elevated but is not a definitive sign of a complication in this context.
A: Mild pain at the incision site is common post-surgery and does not necessarily indicate a complication.
C: Urine output of 150 mL/hr is within the normal range and does not suggest a complication.
D: Temperature of 37.2┬░C (99┬░F) is slightly elevated but is not a definitive sign of a complication in this context.