Which prescription should the nurse question for a client suspected of having appendicitis with an elevated WBC count?

In cases of suspected appendicitis, particularly when there is an elevated white blood cell (WBC) count indicating possible inflammation or infection, applying a heating pad to the lower abdomen is concerning. Heat can increase blood flow to the area, potentially complicating the situation by promoting further inflammation or worsening an existing infection.

Furthermore, if appendicitis is confirmed, applying heat may also mask symptoms or lead to complications during surgery if it becomes necessary. It's crucial in such cases to avoid any interventions that could exacerbate the condition or lead to detrimental outcomes. In contrast, maintaining the patient on NPO status is important to prevent complications related to surgery if needed, and maintaining a semi-Fowler’s position can help in comfort and minimizing pressure on the abdomen. Initiating IV fluids is a standard practice to support the patient, particularly if there are concerns about hydration or electrolyte imbalances.