A nurse is assessing a school-age child immediately postoperative following a perforated appendix. Which of the following finding should the nurse expect?
A WBC of 6,000/mm3
Purulent nasogastric drainage
Passage of dark red stool with mucus
Absence of peristalsis
The Correct Answer is D
A. A WBC of 6,000/mm³ is within the normal range (4,500-11,000/mm³), and a postoperative infection is more likely to result in an elevated WBC count.
B. Purulent nasogastric drainage is more suggestive of a gastrointestinal issue unrelated to a perforated appendix and is not a common finding post-surgery.
C. Passage of dark red stool with mucus could suggest gastrointestinal bleeding or infection, but it is not typical postoperatively after a perforated appendix.
D. After surgery for a perforated appendix, peristalsis may be absent initially due to the effects of anesthesia, bowel manipulation, or inflammation from the infection. This is a normal postoperative finding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Palliative care can begin at any stage of a serious illness, not just when a prognosis of 6 months or less is given.
B. Palliative care addresses not only physical and mental needs but also social, emotional, and spiritual needs to improve the overall quality of life.
C. While the child's preferences are important, palliative care decisions are often made collaboratively with the family and healthcare team, rather than the child having the final say.
D. The primary goal of palliative care is to improve the quality of life for children and their families by managing symptoms and providing support.
Correct Answer is B
Explanation
A. Duchenne muscular dystrophy is a progressive condition that worsens over time, leading to increasing disability.
B. Children with DMD may experience speech and vision impairments as part of the disease process, which could affect communication.
C. Cognitive impairment is often a feature of DMD, but it does not typically improve with therapy. It is a progressive issue.
D. Mobility concerns in DMD begin in childhood, not adulthood, as the muscles weaken and deterioration progresses.
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