A nurse is assisting with care for an 11-year-old child who has appendicitis. For which of the following complications should the nurse anticipate assisting with collecting data for the RN assessment of the client?
Pyloric stenosis
Celiac disease
Gastroenteritis
Peritonitis
The Correct Answer is D
A. Pyloric stenosis. Pyloric stenosis is a condition that affects infants, causing projectile vomiting due to the narrowing of the pyloric sphincter. It is not a complication of appendicitis and is unrelated to this child's condition.
B. Celiac disease. Celiac disease is an autoimmune disorder triggered by gluten consumption, leading to malabsorption and gastrointestinal symptoms. It is a chronic condition and is not associated with appendicitis or its complications.
C. Gastroenteritis. Gastroenteritis involves inflammation of the stomach and intestines, usually due to viral or bacterial infection. While it can cause abdominal pain, it is not a direct complication of appendicitis but rather a separate condition with similar symptoms.
D. Peritonitis. Peritonitis is the most serious complication of appendicitis and occurs when the inflamed appendix ruptures, leading to infection of the peritoneal cavity. It presents with severe abdominal pain, fever, rigidity, and signs of systemic infection, requiring urgent medical intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "My child should not be involved in their treatment plan." Children, even those who are terminally ill, benefit from age-appropriate involvement in their care. Allowing them to participate in decisions when possible helps reduce anxiety and provides a sense of control.
B. "My child is too young for medication techniques to help with pain." Pain management, including medications and non-pharmacologic methods, is essential for children of all ages. Palliative care ensures comfort, regardless of age.
C. "Hospice will provide my child with spiritual and mental health care." Hospice care addresses the physical, emotional, and spiritual needs of terminally ill children and their families. Counseling, pastoral support, and grief resources are essential components of end-of-life care.
D. "We should not discuss the possibility of death with our child." Open and age-appropriate discussions about death help children understand their condition and process emotions. Avoiding the topic can lead to confusion and increased fear.
Correct Answer is ["A","B","E"]
Explanation
A. Bullying. Children with chronic illnesses may be at higher risk of bullying due to visible symptoms, medical devices (e.g., insulin pumps, braces), or frequent absences. Bullying can negatively impact their self-esteem and emotional well-being.
B. Absenteeism. Chronic illnesses often require frequent medical appointments, hospitalizations, or rest periods, leading to increased school absences. This can affect academic performance and social integration.
C. Decreased intelligence quotient (IQ) score. While chronic illness can affect cognitive function in some cases (e.g., severe epilepsy, untreated hypothyroidism), most children with chronic illnesses do not inherently have lower IQ scores. Learning difficulties are more often linked to fatigue, medication side effects, or missed instruction time rather than a direct decrease in intelligence.
D. Behavioral issues toward other students. While some children may struggle with frustration or emotional distress due to their illness, chronic illness does not inherently cause aggressive behavior toward peers. However, emotional regulation difficulties may arise due to stress or anxiety related to their condition.
E. Mental health concerns. Anxiety, depression, and feelings of isolation are common among children with chronic illnesses. They may struggle with self-identity, fear of medical procedures, and social exclusion, increasing the risk of mental health disorders.
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