Aclient develops acute appendicitis. prior to arrival to the hospital, the client attempted self-care at home. which self-care measures could potentially lead to rupture of the appendix?

The client takes a small volume enema that leads the appendicitis rapture.   If not sure of the symptoms, take your temperature every two hours and keep a record for your doctor. The appendix must be removed (appendectomy) either through a small incision or with a special instrument (laparoscope). Surgery should not be delayed more than a few hours.

"1. it should be, it has been for about 20 years, and it's really not much different in the end than breeding animals to have particular traits. there are always concerns about genetically engineered animals/plants affecting the environment in unexpected negative ways, but i can't think of an example where the fears didn't turn out to be baseless.  

first, as you point out, it would be a great advance in pharmacology, to be able to tailor drugs and their doses to me. the pros involve better medical treatment. the cons involve privacy issues like insurance companies denying coverage to people with genetic risk factors. looking at dna markers wouldn't affect the frequency of genetic diseases, but it would allow detection of them earlier. and ok, actually i suppose that if people used this information to avoid having children with genetic diseases, some might decrease in frequency."