Postoperative nursing care for a client after an appendectomy should include:
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Risk Factors
Signs and Symptoms/ Assessment
Diagnostic Evaluation
Primary Nursing DiagnosisPrimary Preoperative Nursing Diagnosis
Medical ManagementAn appendectomy (surgical removal of the appendix) is the preferred method of management for acute appendicitis if the inflammation is localized. An open appendectomy is completed with a transverse right lower quadrant incision, usually at the McBurney point. A laparoscopic appendectomy may be used in females of childbearing age, those in whom the diagnosis is in question, and for obese patients. If the appendix has ruptured and there is evidence of peritonitis or an abscess, conservative treatment consisting of antibiotics and intravenous (IV) fluids is given 6 to 8 hours prior to an appendectomy. Generally, an appendectomy is performed within 24 to 48 hours after the onset of symptoms under either general or spinal anesthesia. Preoperative management includes IV hydration, antipyretics, antibiotics, and, after definitive diagnosis, analgesics. Appendectomy (surgical removal of the appendix) Complications of Appendectomy
Nursing InterventionPreoperative interventions
Documentation Guidelines
Discharge and Home Healthcare Guidelines
Sources: Marilyn Sawyer Sommers, RN, PhD, FAAN , Susan A. Johnson, RN, PhD, Theresa A. Beery, PhD, RN , DISEASES AND DISORDERS A Nursing Therapeutics Manual, 2007 3rd ed ExamChoose the letter of the correct answer. Good luck! Congratulations
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Nursing Care PlanNursing Diagnosis: Acute PainMay be related to
Possibly evidenced by
Nursing Diagnosis: Risk for Fluid Volume DeficitRisk factors may include
Nursing Diagnosis: Risk for InfectionRisk factors may include
Nursing Priorities
Discharge Goals
Nursing Diagnosis: Deficient KnowledgeMay be related to
Possibly evidenced by
What is the nursing management after appendectomy?After the surgery, the nurse places the patient on a High-fowler's position to reduce the tension on the incision and abdominal organs, thereby reducing pain. Oral fluids. When tolerated, oral fluids could be administered.
What care should be taken after appendix surgery?How can you care for yourself at home?. Rest when you feel tired. ... . Try to walk each day. ... . For about 2 weeks, avoid lifting anything that would make you strain. ... . Avoid strenuous activities, such as bicycle riding, jogging, weight lifting, or aerobic exercise, until your doctor says it is okay.. What nursing interventions will the nurse perform when caring for a postoperative appendectomy patient?Nursing interventions that are required in postoperative care include prompt pain control, assessment of the surgical site and drainage tubes, monitoring the rate and patency of IV fluids and IV access, and assessing the patient's level of sensation, circulation, and safety.
What should I monitor after appendectomy?Regardless of the type of appendectomy you had, your healthcare provider will advise you to watch out for signs of infection and other problems. Call your healthcare provider if you experience any of the following: Fever or chills. Redness, swelling, bleeding, or drainage from the incision site.
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