National Physical Therapy Examination (NPTE) Practice Exam

After suspecting acute appendicitis in a patient, what is the most appropriate action?

1. Continue gentle exercises but avoid gait training

2. Apply a moist hot pack to the right back and flank

3. Offer the patient some crackers and water

4. Have the patient lie down and remain as quiet as possible

The correct answer is: Have the patient lie down and remain as quiet as possible

The most appropriate action when suspecting acute appendicitis is to have the patient lie down and remain as quiet as possible. This approach helps to minimize movement and abdominal tension, which can aggravate pain and may risk further complications such as perforation of the appendix. By promoting rest, you allow the body to stabilize and prevent any aggravation of the condition while awaiting further medical evaluation. In contrast, continuing gentle exercises could lead to unnecessary strain and discomfort, while applying a hot pack might provide temporary relief but is generally not recommended as it may increase inflammation in the area. Offering food or drink, such as crackers and water, could pose a risk in the event surgical intervention is required, as patients are often required to have an empty stomach prior to surgery. Therefore, ensuring the patient's comfort and reducing movement is the safest and most prudent choice in the scenario of suspected appendicitis.