A client was admitted to the emergency room with severe abdominal pain, anorexia, chills, skin pallor, a weak and thready pulse of 118, a blood pressure of 70/40, rebound tenderness, and abdominal rigidity. For what should the nurse prepare this client?
1. Treatment for shock
2. Exploratory laparoscopy
3. Administration of antibiotics
4. Diagnostic testing with barium and endoscopy
Answer: 1
1. The assessment findings suggest a perforated appendix with peritonitis.
2. Stabilization of the shock will be necessary before surgery is performed.
3. Antibiotics would be administered after shock is treated.
4. Barium studies would be contraindicated.
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