The patient has peritonitis, which is a major complication of appendicitis. What treatment will the nurse plan to include?

Correct Answer: C

Rationale: The correct answer is C: IV fluid replacement. IV fluids are essential in managing peritonitis to maintain hydration and electrolyte balance. It helps to support the patient's circulation and prevent shock. Peritoneal lavage (choice A) is not typically used in the treatment of peritonitis. Peritoneal dialysis (choice B) is used for kidney failure, not peritonitis. Increased oral fluid intake (choice D) may not be sufficient in cases of peritonitis where IV fluids are needed for rapid rehydration and support.

Correct Answer: C

Rationale: The correct answer is C: Those who have had household or close contact with the patient should receive immune globulin. This is because immune globulin can provide passive immunity to those exposed to hepatitis A, reducing the risk of developing the disease. Hepatitis A vaccine is not effective post-exposure, so it would not prevent disease in this scenario (option B). Option A is incorrect as there is a vaccine available for hepatitis A. Option D is incorrect because hepatitis A is primarily transmitted through fecal-oral route, not sexual contact.

Correct Answer: D

Rationale: The correct answer is D because severe midepigastric or LUQ pain is a classic symptom of acute pancreatitis due to inflammation of the pancreas. This pain is usually persistent and can radiate to the back. A: Hyperactive bowel sounds are not typically associated with acute pancreatitis but rather with conditions like gastroenteritis. B: Hypertension and tachycardia are not specific to acute pancreatitis and can be seen in various medical conditions. C: While fever can be present in acute pancreatitis, a specific temperature greater than 102°F is not a defining characteristic.

Correct Answer: C

Rationale: The correct answer is C: Surgical removal of appendix. Appendicitis is inflammation of the appendix, which requires surgical intervention (appendectomy) to prevent rupture and potential life-threatening complications. Transfusion (A) is not a standard treatment for appendicitis unless severe bleeding occurs post-surgery. Bowel prep (B) is unnecessary for appendicitis treatment as it is not related to colon cleansing. Medications to lower stomach pH (D) are used to treat conditions like acid reflux, not appendicitis. In summary, surgical removal of the inflamed appendix is the definitive treatment for appendicitis to prevent complications.