{"id":3577,"date":"2023-12-20T14:48:00","date_gmt":"2023-12-20T14:48:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=3577"},"modified":"2026-03-20T13:51:14","modified_gmt":"2026-03-20T21:51:14","slug":"nclex-qotd-complicated-appendectomy","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-complicated-appendectomy","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Complicated appendectomy"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-complicated-appendectomy\/#The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\" >The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-complicated-appendectomy\/#D_The_patient_will_tolerate_ambulating_25_feet_in_the_hall_without_reports_of_fatigue_or_shortness_of_breath\" >D. The patient will tolerate ambulating 25 feet in the hall without reports of fatigue or shortness of breath<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-complicated-appendectomy\/#Major_Takeaway\" >Major Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-complicated-appendectomy\/#Incorrect_answer_explanations\" >Incorrect answer explanations<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-complicated-appendectomy\/#A_The_patient_will_be_logrolled_by_nursing_staff_every_2_hours\" >A. The patient will be logrolled by nursing staff every 2 hours<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-complicated-appendectomy\/#B_The_patient_will_participate_in_cough_and_deep_breathing_exercises_twice_per_day\" >B. The patient will participate in cough and deep breathing exercises twice per day<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-complicated-appendectomy\/#C_The_patient_will_utilize_a_wheelchair_for_transportation\" >C. The patient will utilize a wheelchair for transportation&nbsp;<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><em><strong>Today&#8217;s NCLEX-RN\u00ae question of the day focuses on a nurse who is caring of a post-appendectomy patient. What is the most suitable outcome statement to address and improve the patient&#8217;s ability to engage in activities without experiencing undue shortness of breath and the need for frequent breaks? Can you figure it out?<\/strong><\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse is caring for a patient who underwent a complicated appendectomy and is set to be discharged in a few days. The nurse notes the patient is short of breath with ambulation and requires frequent breaks during activity. Based on these findings, the nurse chooses a priority hypothesis of impaired activity tolerance.&nbsp;Which is the&nbsp;<strong>most appropriate<\/strong>&nbsp;outcome statement to address this hypothesis?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. The patient will be logrolled by nursing staff every 2 hours<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. The patient will participate in cough and deep breathing exercises twice per day&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. The patient will utilize a wheelchair for transportation&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. The patient will tolerate ambulating 25 feet in the hall without reports of fatigue or shortness of breath<\/strong>Scroll down for the correct answer!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"D_The_patient_will_tolerate_ambulating_25_feet_in_the_hall_without_reports_of_fatigue_or_shortness_of_breath\"><\/span>D. The patient will tolerate ambulating 25 feet in the hall without reports of fatigue or shortness of breath<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>An appropriate outcome for this patient is to tolerate ambulating 25 feet in the hall without reports of fatigue or shortness of breath. This outcome is specific to the priority hypothesis, measurable, achievable, realistic, and time specific.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span>Major Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse should use clinical judgment to generate solutions related to mobility alterations, which involves identifying expected outcomes and using hypotheses to define a set of interventions for the expected outcomes. For patients with a priority hypothesis of impaired activity tolerance, it is crucial for the nurse to encourage the patient to ambulate as early as possible. This prevents muscle atrophy, as well as reduces the risk of wounds, falls, deep vein thrombosis, and further respiratory complications. Outcomes should be patient centered, specific, measurable, achievable, realistic, and time specific.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"395\" height=\"399\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/patient-with-a-nurse.png\" alt=\"illustration of patient ambulating with a nurse\" class=\"wp-image-3579\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/patient-with-a-nurse.png 395w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/patient-with-a-nurse.png?resize=297,300 297w\" sizes=\"auto, (max-width: 395px) 100vw, 395px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_answer_explanations\"><\/span>Incorrect answer explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"A_The_patient_will_be_logrolled_by_nursing_staff_every_2_hours\"><\/span>A. The patient will be logrolled by nursing staff every 2 hours<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong>&nbsp;This scenario does not indicate that this patient needs to be logrolled, which is common for patients with spinal cord injuries.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"B_The_patient_will_participate_in_cough_and_deep_breathing_exercises_twice_per_day\"><\/span>B. The patient will participate in cough and deep breathing exercises twice per day<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>While coughing and deep breathing exercises are important to eliminate excess mucus from pneumonia, they do not address the priority hypothesis.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"C_The_patient_will_utilize_a_wheelchair_for_transportation\"><\/span>C. The patient will utilize a wheelchair for transportation&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>There is no assessment information that indicates the patient requires a wheelchair.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;________________________<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Want more NCLEX\u00ae-style practice questions? Try Osmosis by Elsevier today! Access your&nbsp;<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>&nbsp;and find out why millions of current and future clinicians and caregivers love learning with us.<\/em><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\/rn\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"904\" height=\"324\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_2da05c.png?w=904\" alt=\"\" class=\"wp-image-3448\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_2da05c.png 904w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_2da05c.png?resize=300,108 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_2da05c.png?resize=768,275 768w\" sizes=\"auto, (max-width: 904px) 100vw, 904px\" \/><\/a><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Today&#8217;s NCLEX-RN\u00ae question of the day focuses on a nurse who is caring of a post-appendectomy patient. What is the most suitable outcome statement to address and improve the patient&#8217;s ability to engage in activities without experiencing undue shortness of breath and the need for frequent breaks? Can you figure it out? The nurse is [&hellip;]<\/p>\n","protected":false},"author":279,"featured_media":3578,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,29,1367,32],"tags":[],"class_list":["post-3577","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-nursing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: Complicated appendectomy - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-complicated-appendectomy\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: Complicated appendectomy - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Today&#8217;s NCLEX-RN\u00ae question of the day focuses on a nurse who is caring of a post-appendectomy patient. 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