A nurse is assisting with the plan of care for a child who is 12 hr postoperative following a ruptured appendix with peritonitis. Which of the following actions should the nurse include in the plan of care?

Give pain medications on a schedule.

Initiate contact isolation.

Offer clear liquids.

Maintain strict bed rest.

Answer and Explanation

The Correct Answer is A

Choice A reason:

Providing pain medication on a schedule is important for managing pain and ensuring the child's comfort, especially after a surgery involving peritonitis.

Choice B reason:

Contact isolation is not typically indicated for a child postoperative for appendicitis unless there is a specific infectious concern. It is not a routine intervention.

Choice C reason:

Offering clear liquids may be appropriate depending on the child's individual recovery and surgeon's orders. However, this should be determined on an individual basis and is not a standard postoperative intervention.

Choice D reason:

Maintaining strict bed rest may not be necessary for all children postoperative for appendicitis. Early mobilization and ambulation are often encouraged to promote recovery.

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Correct Answer is C

Explanation

Choice A reason:

Improved feedings can be a positive sign, but it may not directly indicate the therapeutic effect of phenobarbital.

Choice B reason:

Restored surfactant is not directly related to the action of phenobarbital, which is used to manage symptoms of neonatal abstinence syndrome.

Choice C reason:

Phenobarbital is a medication that can help alleviate CNS irritability in infants with neonatal abstinence syndrome. Therefore, a decrease in CNS irritability indicates a therapeutic effect of the medication.

Choice D reason:

Decreased excoriation is not a primary effect of phenobarbital. This medication primarily addresses CNS symptoms associated with neonatal abstinence syndrome.

A. Avoid discussing the child's diagnosis with the sibling. B. Designate one parent to stay at home with the sibling. C. Avoid having the sibling visit the child in the facility. D. Encourage phone calls between the siblings.

Correct Answer is D

Explanation

Choice A reason:

Avoiding discussing the child's diagnosis with the sibling may create unnecessary secrecy and could hinder the sibling's understanding and coping.

Choice B reason:

Designating one parent to stay at home with the sibling may not be necessary, as both parents can still provide support and care for both children.

Choice C reason:

Avoiding having the sibling visit the child in the facility may isolate them and prevent opportunities for bonding and support.

Choice D reason:

This statement is correct. Encouraging phone calls between the siblings allows them to maintain communication, express their feelings, and support each other during the separation caused by hospitalization.

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A nurse is assisting with the plan of care for a child who is 12 hr postoperative following a ruptured appendix with peritonitis. Which of the following actions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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