A 7-year-old patient has been admitted to the hospital with a ruptured appendix. Which action should the nurse take while awaiting surgery?

Give the patient a laxative.

Obtain an order for ibuprofen for the patient.

Remove all beverages from the patient's bedside.

Provide a heating pad for the patient.

Answer and Explanation

The Correct Answer is C

Remove all beverages from the patient's bedside.

Choice A rationale:

Giving the patient a laxative is inappropriate and unnecessary in the context of a ruptured appendix. The focus should be on preparing the patient for surgery and managing the acute condition.

Choice B rationale:

Administering ibuprofen should be avoided as it can mask symptoms and potentially worsen the patient's condition by masking signs of inflammation or infection. This delay in appropriate care could lead to complications.

Choice C rationale:

Removing all beverages from the patient's bedside is essential. NPO (nothing by mouth) status is typically maintained for patients with suspected appendicitis or other surgical conditions to prevent potential aspiration in case surgery is required.

Choice D rationale:

Providing a heating pad is contraindicated in cases of suspected appendicitis or any acute abdominal condition. Heat can worsen inflammation and potentially cause the appendix to rupture, leading to more severe complications.

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Correct Answer is A

Explanation

Choice A rationale:

This response acknowledges the client's feelings, addresses the immediate situation, and offers an alternative without judgment.

Choice B rationale:

Asking "What's wrong? Haven't you ever lost a game before?”. might come across as dismissive and insensitive to the client's emotions.

Choice C rationale:

Simply saying "I am sure you'll win the next game”. minimizes the client's feelings and does not address the current situation.

Choice D rationale:

Telling the client that "other children will not want to play with you if you act like that”. is a negative and shaming response, which is counterproductive to building a therapeutic relationship.

A. Obesity.". B. Diabetes.". C. Cataracts.". D. Skeletal abnormalities.".

Correct Answer is B

Explanation

Choice A rationale:

The statement about an increased risk for developing obesity is accurate. However, this does not indicate a need for further education about Down syndrome, as obesity is a common concern in the general population as well.

Choice B rationale:

The statement about an increased risk for developing diabetes would indicate a need for further education. Individuals with Down syndrome are indeed at an elevated risk of developing diabetes, often in their early adulthood.

Choice C rationale:

The statement about an increased risk for developing cataracts is accurate. However, it is not a primary concern associated with Down syndrome in infancy.

Choice D rationale:

The statement about skeletal abnormalities is accurate. While individuals with Down syndrome can have certain skeletal features, this is not a critical concern during infancy.

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A 7-year-old patient has been admitted to the hospital with a ruptured appendix. Which action should the nurse take while awaiting surgery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is playing a board game with a client who suddenly becomes upset. The client throws the game on the floor and says, "I don't want to play anymore.”. What is the nurse's best response to this behavior?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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