A nurse is planning care for a client who has acute appendicitis. Which of the following actions should the nurse plan to take?

NPO (nothing by mouth) status is essential for a client with acute appendicitis because surgery is likely, and intake of food or fluids increases anesthesia risk. Laxatives stimulate bowel movement and can increase the risk of perforation. Heat increases circulation to the area and can accelerate rupture of the appendix. Positioning with knees flexed (not flat) often provides comfort.