A nurse is admitting a child who has appendicitis to a pediatric unit. What information should the nurse obtain from the child and family? (Select all that apply.)

The onset, duration, location, and intensity of abdominal pain

The presence, frequency, color, and consistency of bowel movements

The history of allergies, medications, immunizations, and surgeries

The type, amount, time, and tolerance of last oral intake

Answer and Explanation

Correct Answer : A,B,C,D

Choice A reason: This information should be obtained from the child and family, as it helps assess the severity and progression of appendicitis and its complications.

Choice B reason: This information should be obtained from the child and family, as it helps evaluate the bowel function and rule out other causes of abdominal pain such as constipation or diarrhea.

Choice C reason: This information should be obtained from the child and family, as it helps identify any risk factors or contraindications for treatment such as allergic reactions, drug interactions, vaccine-preventable diseases, or previous abdominal surgeries.

Choice D reason: This information should be obtained from the child and family, as it helps determine the nutritional status and fluid balance of the child and prepare for surgery if indicated.

Choice E reason: This information is not specific for the admission and discharge of a child who has appendicitis, as it does not affect the diagnosis or treatment of the condition. It may be more relevant for other gastrointestinal disorders.

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Correct Answer is D

Explanation

Choice A reason: This statement by the child indicates a partial understanding of the discharge instructions, as it shows awareness of the importance of blood glucose monitoring for diabetes mellitus. However, the child may also need to check his or her blood sugar level at other times, such as before bedtime, before exercise, or when sick.

Choice B reason: This statement by the child indicates a need for further teaching, as it shows a misunderstanding of the proper technique for insulin administration for diabetes mellitus. The child should rotate the injection sites to prevent lipodystrophy, a condition that causes lumps or dents in the skin.

Choice C reason: This statement by the child indicates an understanding of the discharge instructions, as it shows awareness of the importance of dietary management for diabetes mellitus. The child should follow a balanced and consistent carbohydrate diet that matches the insulin dose and activity level.

Choice D reason: This statement by the child indicates an understanding of the discharge instructions, as it shows awareness of the signs and symptoms of hyperglycemia, a condition that occurs when the blood sugar level is too high and can lead to diabetic ketoacidosis, a serious complication of diabetes mellitus.

A. "I will check my child's blood sugar level four times a day." B. "I will give my child insulin injections before each meal." C. "I will keep some candy handy in case my child has low blood sugar." D. "I will let my child eat whatever he wants as long as he takes his insulin."

Correct Answer is D

Explanation

Choice A reason: This statement by the parent indicates an understanding of the teaching, as it shows adherence to the recommended blood glucose monitoring schedule.

Choice B reason: This statement by the parent indicates an understanding of the teaching, as it shows adherence to the prescribed insulin regimen.

Choice C reason: This statement by the parent indicates an understanding of the teaching, as it shows awareness of how to treat hypoglycemia.

Choice D reason: This statement by the parent indicates a need for further teaching, as it shows a lack of understanding of the importance of dietary management for diabetes mellitus. The child should follow a balanced and consistent carbohydrate diet that matches the insulin dose and activity level.

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A nurse is admitting a child who has appendicitis to a pediatric unit. What information should the nurse obtain from the child and family? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discharging a child who has diabetes mellitus from a pediatric unit. What statement by the child indicates that he or she understands the discharge instructions?

Correct Answer is D

Explanation

A nurse is discharging a 5-year-old child who has diabetes mellitus from a pediatric unit. Which of the following statements by the parent indicates a need for further teaching?

Correct Answer is D

Explanation

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