CHAPTER 7 Gastrointestinal System^287
INTERPRETING TEST RESULTS
- Elevated white blood cell count (WBC).
- CT scan shows enlarged appendix or fecalith.
- Ultrasound may show enlarged appendix.
TREATMENT
- Surgical removal of the appendix—appendectomy (may be done via laparo-
scopy or open laparotomy). - NPO—nothing by mouth to avoid further irritation of the intestinal area, and
prep for surgery. - Intravenous fluids until diet resumed.
- Pain medications after surgery as needed; pain medication is used cautiously
preoperatively to maintain awareness of increase in pain due to possible rup-
ture of appendix. - Antibiotics postoperatively if needed.
NURSING DIAGNOSES
- Acute pain
- Hyperthermia
- Nausea
NURSING INTERVENTION
- Monitor vital signs for fever, increased heart rate, respiratory rate, and decrease
in blood pressure. - Assess pain level for changes.
- Monitor surgical site for appearance of wound, drainage.
- Monitor abdomen for distention, presence of bowel sounds.
- Monitor intake and output.
- Monitor bowel function.