Difficulty: Medium
Average Score: 67%
Simulated
The HCP writes the following admission orders for the client with possible appendicitis. Which order should the nurse question?
Correct answer
C
Rationale
A. Clients are kept NPO in case surgery is needed. B. Analgesic medications are usually withheld until a definitive diagnosis is established to avoid masking critical symptom changes. C. The nurse should question applying heat to the abdomen when appendicitis is suspected. Heat is contraindicated because it increases circulation, which, in turn, could cause the appendix to rupture. D. Isotonic IV fluids are initiated to replace lost body fluid and prevent dehydration.