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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Related Questions
Correct Answer is C
Explanation
A. While consistency is important for children with autism, allowing for frequent rule adjustments can be confusing. Rules should be stable to help the child feel secure.
B. A flexible schedule that adjusts to the child's interests may not work well. Children with autism benefit from a predictable, structured routine.
C. Establishing a reward system for positive behavior is a key intervention. Positive reinforcement can encourage desired behaviors and support the child's development.
D. Children with autism often struggle with social interactions, and unsupervised imaginative play may result in challenges. Supervision is important to support safe and appropriate social engagement.
Correct Answer is ["93"]
Explanation
To calculate the maximum recommended dose of sertraline (Zoloft) for a child who weighs 31 kg, follow these steps:
- Identify the maximum dose per kilogram: 3 mg/kg/day.
- Multiply the child's weight by this maximum dose:
MaximumDose(mg/day) =31kg×3mg/kg/day= 93mg
So, the maximum recommended dose for this child would be 93 mg/day (rounded to the nearest whole number).
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