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NCLEX Question of the Day
Review the question, check the correct answer, and read the rationale before tomorrow's prompt arrives.
A client is admitted for a planned appendectomy. Which of the following preoperative orders should the nurse question?
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Complete blood count
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Informed consent
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Correct answer Enema
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NPO after midnight
Rationale
The nurse should question a preoperative order for an enema before an appendectomy. Enemas are not routinely ordered before this surgery as they can irritate the inflamed appendix and increase the risk of perforation. They are also not necessary for bowel cleansing as the appendix is not part of the large intestine.
An NPO (nothing by mouth) order after midnight is standard preoperative protocol to reduce the risk of aspiration during anesthesia. A complete blood count is a common preoperative test to check for anemia or infection. Informed consent is a legal and ethical requirement before any surgery.
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