A client is admitted to the clinical facility with acute abdominal pain. The physician determines that the client has appendicitis. An appendectomy is scheduled to take place in three hours. While waiting for the surgery, the client reports the pain has subsided. What initial action by the nurse is indicated?
1. Determine when the client can be medicated for pain again.
2. Contact the physician.
3. Contact the surgery department.
4. Notify the nursing supervisor.
2. Contact the physician.
Rationale:
The pain relief being experienced by the client is consistent with rupture of the appendix. The physician should be notified. If the appendix has ruptured, the risk of peritonitis will increase. The next time the client can be medicated for pain is not relevant for this client. Notification of the surgery department and the nursing supervisor should not be completed before contact with the physician.
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