QUIZ APPENDICITIS EXAM #3
QUESTIONS WITH COMPLETE
ANSWERS
Which assessment finding should alert the nurse to suspect appendicitis in a male
adolescent with severe abdominal pain?
the abdomen appears slightly rounded bowel sounds are heard twice in two minutes
all four abdominal quadrants reveal tympany
the client demonstrates a cremasteric reflex - Answer-bowel sounds are heard twice in
2 minutes
An adolescent client scheduled for an emergency appendectomy is to be transferred
directly from the emergency department to the operating room. Which statement by the
client should the nurse interpret as most significant?
All of a sudden, it does not hurt at all.
The pain is centered around my navel.
I feel like I'm going to throw up.
It hurts when you press on my stomach. - Answer-All of a sudden, it does not hurt at all.
What should be the priority assessment for an adolescent on return to the nursing unit
after an appendectomy?
the dressings on the surgical site
intravenous fluid infusion site
NG tube function
amount of pain - Answer-the dressing on the surgical site.
An adolescent who has had an appendectomy and developed peritonitis has nausea.
Which intervention should be should the nurse do first?
administer an antiemetic
irrigate the NG tube
notify the surgeon
take the blood pressure - Answer-irrigate the NG Tube
When developing the post-operative plan of care for an adolescent who has undergone
an appendectomy for a ruptured appendix, in which position should the nurse expect to
place the client during the early post-operative period.
Semi Fowler's position
Supine
Lithotomy position
Prone - Answer-Semi Fowler's position
What would the nurse expect as a normal response from an adolescent who has just
returned to her room after an open appendectomy?
, I will need plastic surgery for this scar.
I am worried about the size of my scar.
I do not want to have any pain.
What will my boyfriend say about the scar. - Answer-I'm worried about the size of my
scar.
Which connection would the nurse judge to be a healthy coping behavior for a male
adolescent after an appendectomy?
insisted on wearing a t-shirt and gym shorts rather than pajamas
avoiding interactions with other adolescents on the nursing unit
refusing to fill out the menu and allowing the nurse to do so
not taking telephone calls from friends so he can rest - Answer-insisting wearing a t-shirt
and gym shorts rather than pajamas
The nurse prepares to teach an adolescent scheduled for an appendectomy about what
to expect. The adolescent says "I'd rather look this up on the Internet." What should the
nurse do?
explain that completing the teaching checklist is required by the hospital
help the client find information on the internet
provide the client with written information instead
explain that the information found on the internet cannot be trusted - Answer-help the
client find information on the internet
The nurse is conducting a health history on a school-age child. Which parent statement
would suggest to the nurse that a child may have celiac disease?
his urine is so dark in color
his stools are large and smelly
his belly is so small
he is so short - Answer-his stools are large and smelly
During assessment of a child with celiac disease, the nurse would most likely note
which physical finding?
enlarged liver
protuberant abdomen
tender inguinal lymph nodes
periorbital edema - Answer-protuberant abdomen
The nurse is teaching the parent of a child with celiac disease about dietary
management. Which statement by the parent indicates successful teaching?
I will feed my child foods that contain wheat products.
I'll be sure to give my child lots of milk.
I will plan to feed my child foods that contain rice.
I'll be sure my child gets oatmeal everyday. - Answer-I will plan to feed my child foods
that contain rice.
QUESTIONS WITH COMPLETE
ANSWERS
Which assessment finding should alert the nurse to suspect appendicitis in a male
adolescent with severe abdominal pain?
the abdomen appears slightly rounded bowel sounds are heard twice in two minutes
all four abdominal quadrants reveal tympany
the client demonstrates a cremasteric reflex - Answer-bowel sounds are heard twice in
2 minutes
An adolescent client scheduled for an emergency appendectomy is to be transferred
directly from the emergency department to the operating room. Which statement by the
client should the nurse interpret as most significant?
All of a sudden, it does not hurt at all.
The pain is centered around my navel.
I feel like I'm going to throw up.
It hurts when you press on my stomach. - Answer-All of a sudden, it does not hurt at all.
What should be the priority assessment for an adolescent on return to the nursing unit
after an appendectomy?
the dressings on the surgical site
intravenous fluid infusion site
NG tube function
amount of pain - Answer-the dressing on the surgical site.
An adolescent who has had an appendectomy and developed peritonitis has nausea.
Which intervention should be should the nurse do first?
administer an antiemetic
irrigate the NG tube
notify the surgeon
take the blood pressure - Answer-irrigate the NG Tube
When developing the post-operative plan of care for an adolescent who has undergone
an appendectomy for a ruptured appendix, in which position should the nurse expect to
place the client during the early post-operative period.
Semi Fowler's position
Supine
Lithotomy position
Prone - Answer-Semi Fowler's position
What would the nurse expect as a normal response from an adolescent who has just
returned to her room after an open appendectomy?
, I will need plastic surgery for this scar.
I am worried about the size of my scar.
I do not want to have any pain.
What will my boyfriend say about the scar. - Answer-I'm worried about the size of my
scar.
Which connection would the nurse judge to be a healthy coping behavior for a male
adolescent after an appendectomy?
insisted on wearing a t-shirt and gym shorts rather than pajamas
avoiding interactions with other adolescents on the nursing unit
refusing to fill out the menu and allowing the nurse to do so
not taking telephone calls from friends so he can rest - Answer-insisting wearing a t-shirt
and gym shorts rather than pajamas
The nurse prepares to teach an adolescent scheduled for an appendectomy about what
to expect. The adolescent says "I'd rather look this up on the Internet." What should the
nurse do?
explain that completing the teaching checklist is required by the hospital
help the client find information on the internet
provide the client with written information instead
explain that the information found on the internet cannot be trusted - Answer-help the
client find information on the internet
The nurse is conducting a health history on a school-age child. Which parent statement
would suggest to the nurse that a child may have celiac disease?
his urine is so dark in color
his stools are large and smelly
his belly is so small
he is so short - Answer-his stools are large and smelly
During assessment of a child with celiac disease, the nurse would most likely note
which physical finding?
enlarged liver
protuberant abdomen
tender inguinal lymph nodes
periorbital edema - Answer-protuberant abdomen
The nurse is teaching the parent of a child with celiac disease about dietary
management. Which statement by the parent indicates successful teaching?
I will feed my child foods that contain wheat products.
I'll be sure to give my child lots of milk.
I will plan to feed my child foods that contain rice.
I'll be sure my child gets oatmeal everyday. - Answer-I will plan to feed my child foods
that contain rice.
