Hello there,
I suppose it does affect the queue and you must enable it for a couple of days.
When you approve an update, you are essentially telling WSUS what to do with it (for example, your choices are Install, Detect only, Remove, or Decline update). When approving an update, you specify a default approval setting for the All Computers group and any necessary settings for each computer group in the Approve Updates dialogue box.
Because a superseding update typically enhances a fix provided by a previously released, superseded update, it is recommended that you first see how many client computers will be compliant with the new update, and work backwards from there. https://learn.microsoft.com/de-de/security-updates/windowsupdateservices/18127495
Hope this resolves your Query !!
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