A nurse in the emergency department (ED) is caring for a 13-year-old client who presented with right lower quadrant abdominal pain, nausea, and fever.

Exhibits

The nurse has notified the provider of the client's 0700 assessment data and lab results. Which of the following prescriptions should the nurse anticipate?

(Select all that apply.)

A.    Administering a laxative would not be appropriate in this scenario because the client is presenting with symptoms suggestive of an acute abdomen, which could be indicative of a serious condition like appendicitis. Laxatives could potentially worsen the condition or mask important symptoms.
B.    Administering enemas until clear is not indicated in this situation. It could potentially delay appropriate diagnosis and treatment of the underlying cause of the client's symptoms, such as appendicitis. Additionally, enemas may be contraindicated if there is suspicion of bowel obstruction or perforation.
C.    Given the symptoms of right lower quadrant abdominal pain, nausea, and vomiting, along with the elevated WBC count and C-Reactive Protein level, maintaining NPO (nothing by mouth) status is appropriate to rest the bowel and prevent potential exacerbation of symptoms.
D.    Acetaminophen will help alleviate the client’s pain, while preparing them for an appendectomy.
E.    The client's presentation with right lower quadrant abdominal pain, along with the elevated WBC count, warrants further investigation to rule out appendicitis. An abdominal ultrasound can help confirm the diagnosis and guide further management.
F.    With the clinical suspicion of appendicitis supported by the elevated WBC count, initiation of IV antibiotics is indicated to treat possible infection and prevent complications associated with appendicitis, such as perforation or abscess formation.