A nurse is assessing a school-age child immediately postoperative following a perforated appendix. Which of the following finding should the nurse expect?
A WBC of 6,000/mm3
Purulent nasogastric drainage
Passage of dark red stool with mucus
Absence of peristalsis
The Correct Answer is D
A. A WBC of 6,000/mm³ is within the normal range (4,500-11,000/mm³), and a postoperative infection is more likely to result in an elevated WBC count.
B. Purulent nasogastric drainage is more suggestive of a gastrointestinal issue unrelated to a perforated appendix and is not a common finding post-surgery.
C. Passage of dark red stool with mucus could suggest gastrointestinal bleeding or infection, but it is not typical postoperatively after a perforated appendix.
D. After surgery for a perforated appendix, peristalsis may be absent initially due to the effects of anesthesia, bowel manipulation, or inflammation from the infection. This is a normal postoperative finding.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Toddlers often go through phases of decreased appetite and picky eating, so expecting an increased appetite may not be realistic.
B. While vitamins may be useful in some cases, they should not be used to replace a balanced diet. Picky eating should be addressed by offering a variety of foods.
C. A typical toddler's calorie intake is much lower than 3,000 calories; the average is closer to 1,000-1,400 calories per day.
D. The quality of food is more important than the quantity, as toddlers need nutrient-dense foods to support their growth and development.
Correct Answer is D
Explanation
A. Bubble baths can irritate the skin and worsen eczema symptoms. Bathing in lukewarm water with a mild soap is preferable.
B. Woolen clothing can cause irritation and worsen eczema. Soft cotton fabrics are recommended to avoid skin irritation.
C. Fabric softeners can contain fragrances and chemicals that may irritate sensitive skin. It’s best to use mild, fragrance-free detergents.
D. Topical corticosteroids are commonly used to treat eczema by reducing inflammation and itching. It is important for the caregiver to apply these medications as prescribed to manage flare-ups.
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