A 16-year-old presents at the emergency department complaining of right lower quadrant pain and is subsequently diagnosed with appendicitis. When planning this patient's nursing care, the nurse should prioritize what nursing diagnosis?
A) Imbalanced Nutrition: Less Than Body Requirements Related to Decreased Oral Intake
B) Risk for Infection Related to Possible Rupture of Appendix
C) Constipation Related to Decreased Bowel Motility and Decreased Fluid Intake
D) Chronic Pain Related to Appendicitis
Ans: B
Feedback:
The patient with a diagnosis of appendicitis has an acute risk of infection related to the possibility of rupture. This immediate physiologic risk is a priority over nutrition and constipation, though each of these concerns should be addressed by the nurse. The pain associated with appendicitis is acute, not chronic.
You might also like to view...
A nurse is talking with a patient who is scheduled to have a descending colostomy tomorrow
The patient is anxious, and has many questions concerning the surgery, the care of a stoma, and lifestyle changes. Who on the health care team would it be most appropriate for the nurse to refer the patient to? A) Social worker B) Registered dietitian C) Occupational therapist D) Wound-ostomy-continence (WOC) nurse
Why would interrater reliability be measured in a quantitative research project?
a. A verbal quantitative questionnaire is filled out. b. Behavior is observed and classified. c. Phenomenology is the research method. d. Distances are measured.
It is important to verify that a drug order contains all information needed to carry it out safely and
accurately. Indicate whether the statement is true or false
When a patient is malnourished wound healing takes ______.
a. more time to heal b. less time to heal c. the same time to heal