The nursing care for acute appendicitis includes preoperative care and postoperative care. Before surgery and on the day of surgery, fasting is required; the patient should not eat anything. At the same time, it is important to soothe the patient's emotions. If the pain is very severe, sedative analgesics can be used. After the surgery, dietary care should be intensified. On the first day after the surgery, a liquid diet should be administered. After bowel gas is passed, a normal diet can be resumed on the third to fourth day. It is important to monitor vital signs and the condition of the surgical incision to prevent infection. The patient can engage in activities out of bed 24 hours after surgery. Elderly patients should be assisted in expectoration to prevent dependent pneumonia.