The nurse is admitting a client for evaluation of right lower quadrant abdominal pain with nausea and vomiting and an O2 saturation of 90%. Which of the following actions should the nurse take?
A)Check for rebound tenderness.
B)Assist the client to cough and deep breathe.
C)Administer oxygen via nasal cannula.
D)Encourage the client to take sips of clear liquids.

Question

Quizplus · Accepted Answer

The client's clinical manifestations are consistent with appendicitis but the main priority is to administer oxygen as the O2 saturation is only 90%. The client should be NPO in case immediate surgery is needed. Checking for rebound tenderness frequently is unnecessary and uncomfortable for the client. The client will need to know how to cough and deep breathe postoperatively, but coughing will increase pain at this time.

The Nurse Is Admitting a Client for Evaluation of Right