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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale:

Increased respirations are not a specific symptom of increased intracranial pressure (ICP). They might occur due to other respiratory or metabolic issues.

Choice B rationale:

Widened pulse pressure (the difference between systolic and diastolic blood pressure) is a sign of increased ICP. It results from increased systolic pressure due to the body's attempt to compensate for the rising pressure within the skull.

Choice C rationale:

Prolonged capillary refill is indicative of decreased peripheral perfusion or shock, which can be caused by various factors but is not directly related to ICP.

Choice D rationale:

Decreased blood pressure is not a consistent symptom of increased ICP. In fact, widened pulse pressure is more characteristic.

A. BUN 14 mg/dL. B. Serum Creatinine 0.4 mg/dL. C. Urine output 76 mL/24 hours. D. Hbg 12 g/dL.

Correct Answer is C

Explanation

Urine output 76 mL/24 hours.

Choice A rationale:

BUN (Blood Urea Nitrogen) of 14 mg/dL falls within the normal range (7-20 mg/dL) and is not an immediate concern.

Choice B rationale:

Serum Creatinine of 0.4 mg/dL is also within the normal range (0.2-0.5 mg/dL) and does not warrant immediate action.

Choice C rationale:

Urine output of 76 mL/24 hours is significantly decreased from the expected normal range (1-2 mL/kg/hour), indicating potential kidney dysfunction or dehydration. This requires immediate action to assess the child's hydration status and kidney function.

Choice D rationale:

Hb (Hemoglobin) of 12 g/dL is within the normal range for a 5-year-old child (11.5-15.5 g/dL) and does not necessitate urgent intervention.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 patient is intubated and placed on a mechanical ventilator. Which symptom indicates increased intracranial pressure?

Correct Answer is B

Explanation

Which finding in a 5-year-old child diagnosed with hemolytic uremic syndrome would require the nurse to take immediate action?

Correct Answer is C

Explanation

A nurse is caring for a pediatric client who is receiving pancreatic enzyme replacement therapy. Which nursing action measures the effectiveness of the therapy?

The nurse is preparing a patient for discharge and teaching the parents about the home use of digoxin. Which statement by the mother would indicate a good understanding of the instructions?

A nurse is caring for a 2-month-old infant in a crib and needs the nasogastric tube on the counter near the sink. The nurse would now:.

If the pancreatic enzymes are having the desired effect for a patient with cystic fibrosis, the nurse should expect to make which observation?

The nurse is preparing to discharge an 18-month-old patient who has been in the hospital for repair of a cleft palate. Which statement is most appropriate for discharge teaching with the patient's mother?

A 9-year-old patient is admitted to the pediatric unit with a diagnosis of status asthmaticus. Upon entering the hospital room, the nurse observes that the child is sitting and leaning forward on an overbed table. The patient's SpO2 is 93%. The nurse should take which action next?

Which nursing intervention should a nurse expect to perform on a 7-year-old child diagnosed with mild dehydration secondary to diarrhea?

A child has been diagnosed with Hirschsprung's disease. Which of the following findings would the nurse expect the parents to report in the child's history? Select all that apply.