A nurse working in a pediatric inpatient unit is teaching the parents of a 10-year-old child who has suspected appendicitis about non-pharmacological pain control measures. Which statement by the parents indicates an understanding of the teaching?
"Having our child pull their legs closer to their chest might provide relief."
"Applying a warm compress to our child's abdomen can help ease the pain."
"Gently massaging our child's abdomen in a circular motion can help."
"We should encourage our child to lie flat on their back to rest."
The Correct Answer is A
A. "Having our child pull their legs closer to their chest might provide relief.": Flexing the hips and knees reduces stretching of the inflamed peritoneum and decreases tension on the abdominal muscles. This position can lessen pain associated with appendiceal inflammation. It is a commonly recommended non-pharmacological comfort measure in suspected appendicitis.
B. "Applying a warm compress to our child's abdomen can help ease the pain.": Heat increases blood flow and may promote inflammation, which can worsen appendiceal swelling and increase the risk of rupture. Thermal applications to the abdomen are avoided when appendicitis is suspected. This intervention is contraindicated.
C. "Gently massaging our child's abdomen in a circular motion can help.": Abdominal massage increases pressure on inflamed tissues and can exacerbate pain or precipitate perforation. Manipulation of the abdomen is avoided in suspected appendicitis. Comfort measures should minimize, not increase, abdominal stimulation.
D. "We should encourage our child to lie flat on their back to rest.": Lying flat extends the abdomen and increases peritoneal stretch, which may intensify pain. Children with appendicitis often instinctively assume a flexed or side-lying position to reduce discomfort. Flat positioning does not promote pain relief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Having our child pull their legs closer to their chest might provide relief.": Flexing the hips and knees reduces stretching of the inflamed peritoneum and decreases tension on the abdominal muscles. This position can lessen pain associated with appendiceal inflammation. It is a commonly recommended non-pharmacological comfort measure in suspected appendicitis.
B. "Applying a warm compress to our child's abdomen can help ease the pain.": Heat increases blood flow and may promote inflammation, which can worsen appendiceal swelling and increase the risk of rupture. Thermal applications to the abdomen are avoided when appendicitis is suspected. This intervention is contraindicated.
C. "Gently massaging our child's abdomen in a circular motion can help.": Abdominal massage increases pressure on inflamed tissues and can exacerbate pain or precipitate perforation. Manipulation of the abdomen is avoided in suspected appendicitis. Comfort measures should minimize, not increase, abdominal stimulation.
D. "We should encourage our child to lie flat on their back to rest.": Lying flat extends the abdomen and increases peritoneal stretch, which may intensify pain. Children with appendicitis often instinctively assume a flexed or side-lying position to reduce discomfort. Flat positioning does not promote pain relief.
Correct Answer is A
Explanation
A. "I will handle my baby gently and avoid play activities that could cause fractures.": Osteogenesis imperfecta type 1 is the mildest form, characterized by fragile bones and an increased risk of fractures. Gentle handling and careful planning of activities are key preventive measures to protect the infant from injury, reflecting effective understanding of care.
B. "It is likely with this type of the disorder that my child will not survive to adulthood.": Type 1 is the mildest form, and affected individuals typically have a normal life expectancy. Believing survival is severely limited indicates a misunderstanding.
C. "My child will be very small compared to their peers.": While some mild stature reduction may occur, significant short stature is more characteristic of moderate to severe forms, not type 1.
D. "My child's joints did not properly develop, which will cause problems with dislocated joints.": Joint malformations and dislocations are not a hallmark of type 1 OI; bone fragility is the primary concern.
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