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 A

Explanation

Choice A reason: This action should be taken first by the nurse, as it provides essential data about the child's condition and helps identify any signs of deterioration or complications.

Choice B reason: This action should be taken by the nurse after obtaining a set of baseline vital signs, as it provides more comprehensive data about the child's physical status and helps identify any abnormalities or problems.

Choice C reason: This action should be taken by the nurse after performing a head-to-toe physical assessment, as it provides additional data about the child's risk of infection or adverse reactions to vaccines.

Choice D reason: This action should be taken by the nurse after reviewing the child's immunization record, as it provides important data about the child's risk of allergic reactions or drug interactions.

A. "I will keep the dressing on the insertion site for at least 48 hours." B. "I will check the insertion site for any signs of infection or bleeding." C. "I will let my child resume normal activities and exercise right away." D. "I will give my child aspirin or ibuprofen for pain relief."

Correct Answer is B

Explanation

Choice A reason: This statement by the parent indicates a need for further teaching, as it shows a misunderstanding of the wound care instructions. The dressing on the insertion site should be removed after 24 hours and replaced with a band-aid.

Choice B reason: This statement by the parent indicates an understanding of the discharge instructions, as it shows awareness of how to monitor and prevent complications such as infection or hemorrhage.

Choice C reason: This statement by the parent indicates a need for further teaching, as it shows a lack of understanding of the activity restrictions. The child should avoid strenuous activities and exercise for at least one week or until cleared by the physician.

Choice D reason: This statement by the parent indicates a need for further teaching, as it shows a misunderstanding of the pain management instructions. The child should not take aspirin or ibuprofen, as they can increase the risk of bleeding. The child should take acetaminophen or other prescribed medications for pain relief.

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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 admitting a 3-year-old child who has pneumonia to a pediatric unit. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is discharging a child who has undergone a cardiac catheterization from a pediatric unit. Which of the following statements by the parent indicates an understanding of the discharge instructions?

Correct Answer is B

Explanation

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