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Exam (elaborations)

The Client with Appendicitis Exam Guide Review Q&A

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The Client with Appendicitis Exam Guide Review Q&A

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An adolescent is being seen in the clinic for abdominal
pain with a fever. In what order should the nurse assess
the abdomen?
1. Auscultate. B, A, D, C
2. Inspect.
3. Palpate.
4. Percuss.
A child is admitted with a diagnosis of possible appendici-
tis. The child is in acute pain. Which of the following nurs-
ing interventions would be appropriate prior to surgery
to decrease pain? Select all that apply.
1. Otter an ice pack. A, C, D
2. Apply a heating pad.
3. Encourage the child to assume a position of comfort.
4. Limit the child's activity.
5. Request a prescription for a cathartic.
A 10-year old male is 24 hours postappendectomy. He is
awake, alert, and oriented. He tells the nurse that he is
experiencing pain. He has a prescription for morphine 1
to 2 mg PRN pain. What is the priority nursing action in
managing the child's pain? B
1. Change the child's position in bed.
2. Obtain vital signs with a pain score.
3. Administer 1 mg morphine as prescribed.
4. Perform a head-to-toe assessment.

A 5-year-old child is experiencing pain after an appendec-
tomy. Which data collection tool should the nurse use to
assess the pain? D
1. Visual analog scale.
2. FLACC scale.
1/5

, 3. Numerical pain scale.
4. FACES pain rating scale.
A 7-year-old has had an appendectomy on November 12.
He has had pain for the last 24 hours. There is a prescrip-
tion to administer Tylenol (acetaminophen) with Codeine
every 3 to 4 hours as needed. The nurse is beginning A
the shift and the child is requesting pain medication. The
nurse reviews the chart below for pain history. Based on
the information in the chart, what should the nurse do
next?
1. Administer the Tylenol with Codeine.
2. Distract the child by giving him breakfast.
3. Instruct the child to take deep breaths and blow his pain
away.
4. Assess the child again in 1 hour.
When obtaining the initial health history from a
10-year-old child with abdominal pain and suspected
appendicitis, which of the following questions would be
most helpful in eliciting data to help support the diagno-
sis? A
1. "Where did the pain start?"
2. "What did you do for the pain?"
3. "How often do you have a bowel movement?"
4. "Is the pain continuous, or does it let up?"

When developing the plan of care for a school-age child
with a suspected diagnosis of appendicitis who has severe
abdominal pain, which of the following measures should
C
the nurse expect to include in the child's plan of care?
1. Application of a heating pad.
2. Insertion of a rectal tube.

2/5

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