A nurse is caring for an adolescent who is 1 hr postoperative following an appendectomy.
Which of the following findings should the nurse report to the provider?
Muscle rigidity.
Abdominal pain.
Temperature 36.4° C (97.5° F).
Heart rate 63/min.
The Correct Answer is A
Muscle rigidity following an appendectomy could be a sign of a serious complication such as peritonitis and should be reported to the provider immediately.
Choice B is wrong because abdominal pain is a common occurrence following an appendectomy and may not necessarily require immediate attention from the provider.
Choice C is wrong because a temperature of 36.4° C (97.5° F) is within the normal range.
Choice D is wrong because a heart rate of 63/min is within the normal range for an adolescent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Impetigo is treated with antibiotics, either topical antibiotics (medicine rubbed onto the sores) or oral antibiotics (medicine taken by mouth). A doctor might recommend a topical ointment for only a few sores.
Choice B is wrong because Soak hairbrushes in boiling water for 10 minutes, is not a recommended instruction for the treatment of impetigo.
Choice C is wrong because Administer acyclovir PO two times per day, is not a recommended instruction for the treatment of impetigo as acyclovir is an antiviral medication and impetigo is caused by bacteria.
Choice D is wrong because Seal soft toys in a plastic bag for 14 days, is not a recommended instruction for the treatment of impetigo.
Correct Answer is B
Explanation
Maintaining a patent intravenous catheter is important for administering antibiotics and other medications to treat osteomyelitis.
Choice A is wrong because contact precautions are not necessary for a child with osteomyelitis.
Choice C is wrong because a high-calorie, low-protein diet is not indicated for a child with osteomyelitis.
Choice D is wrong because frequent physical activity may not be appropriate for a child with osteomyelitis due to pain and inflammation 1.
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