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GRCC PN132 test 1
GRCC PN132 Appendicitis
| Question | Answer |
|---|---|
| Inflammation of the appendix | Appendicitis |
| Most common reason for emergency abdominal surgery in the united states; common among young people. | Appendicitis |
| Pain in the epigastric region that shifts to the right lower quadrant | Manifestations of appendicitis |
| pain at McBurney's point | Manifestations of appendicitis |
| Low grade temperature elevation | Manifestations of appendicitis |
| Elevated white blood count | manifestations of appendicitis |
| pain: location, severity, onset | nursing assessment to determine if pt has appendicitis. |
| Past med hx, nausea and vomiting , abdominal clues (pain tenderness, distention) | nursing assessment to determine if pt has appendicitis. |
| right lower ab, and is relieved by bending hip or right side of knee | Symptoms of appendicitis |
| Appendix hangs off the secum; opens up to large intestine and feces can get caught/blocked- appendix starts to swell | Symptoms and causes of appendicitis. |
| Blood get cuts off, abscess formation sets in, potentially collecting bacteria causing parientitis | Symptoms and causes of appendicitis |
| Risk for infection | Nsg dgx for appendicitis |
| Deficient fluid volume | Nsg dgx for appendicitis |
| Acute pain | Nsg dgx for appendicitis |
| Ineffective breathing pattern | Nsg dgx for appendicitis |
| Fear | Nsg dgx for appendicitis |
| Inneffective tissue perfusion: gastrointestinal | Nsg dgx for appendicitis- inflammation and edema of the appendix interfere with its blood supply, increasing the risk for tissue necrosis and rupture. |
| Pain | Nsg dgx for appendicitis - this condition causes pain. |
| What sensation follows when the appendix ruptures? | Perforation may be signaled by a sudden relief of pain, followed by increased generalized pain and abdominal distention. |
| What happens to vital signs when perforation of the appendix with infection and peritonitis. | An elevated puls and rapids shallow breathing and temp may be elevated. |
| What signs & symptoms indicate infection or peritonitis? | Swelling of the wound, increased abdominal girth, or increased pain. |
| What signs and symptoms may indicate peritonitis. | Generalized ab pain with guarding of ab muscles. |
| Pre-operative interventions to relieve pain | pt shouls be semi-fowler's position & head and knees up. |
| Pre-operative intervention | pt most likely will not be given analgesics. |
| Use ice only...DO NOT use heat as this could cause a rupture. | Pre-operative intervention to relieve pain |
| Administer antibiotics | Post-op interventions |
| Naso gastric tube to relieve nausea and vomiting. | post-op interventions |
| What should a nurse do if appendicitis is suspected? | Withhold all food and fluids because surgery is the treatment of choice. |
| What should a nurse avoid administering to the pt prior to surgery? | Do not administer laxatives or enemas or apply heat to the ab because these measures may cause perforation of the appendix. |
| What can nurse teach pt before they are dc'd? | Discuss activity restrictions, avoid heavy lifting for up to 6 weeks, depending on surgery, pt may be able to drive 1-2 wks after surgery. |
| What is the initial symptom of acute appendicitis? | Generalized or upper ab pain often is the initial symptom. |
| Rebound tenderness | relief of pain during palpation followed by pain on release of pressure. |
| What is administered prior to surgery for appendicitis? | Antibiotics is initiated and continues for at least 48 hours. |
| Laparotomy | Surgical opening of the ab. |
| Laparoscopy | Exploration of the ab using an endoscope |
| Laparscopic appendectomy | 3 small incisions and recover is rapid. |
Created by:
Wends1984
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