A nurse is caring for a child who has suspected appendicitis. Which of the following provider prescriptions should the nurse clarify?
Monitor oral temperature every 4 hr.
Administer sodium biphosphate/sodium phosphate.
Maintain NPO status.
Medicate the client for pain every 4 hr as needed.
The Correct Answer is B
The nurse should clarify the prescription to administer sodium biphosphate/sodium phosphate because it is a laxative and is contraindicated in a child with suspected appendicitis. The use of laxatives or enemas can potentially worsen the condition by increasing the risk of perforation or rupture of the inflamed appendix.
A. Monitoring oral temperature every 4 hours is important to assess for signs of infection or worsening condition.
C. Maintaining NPO status is essential to avoid stimulating the digestive system and to prepare for possible surgery.
D. Medicating the client for pain every 4 hours as needed is appropriate to manage pain and provide comfort while the child awaits further evaluation or treatment.
Remember, it's crucial to avoid the use of laxatives, enemas, or any other interventions that can potentially aggravate the inflamed appendix in a child with suspected appendicitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["260"]
Explanation
To calculate the total fluid intake, we need to convert all the measurements to milliliters (mL) and then add them up:
1 cup = 240 mL
1 oz = 30 mL
Given fluid intake:
Juice: ½ cup = 0.5 * 240 mL = 120 mL
Gelatin: 3 oz = 3 * 30 mL = 90 mL
Ice pop: 1 oz = 1 * 30 mL = 30 mL
Ginger ale: 20 mL
Total fluid intake = 120 mL + 90 mL + 30 mL + 20 mL = 260 mL
So, the nurse should record 260 mL as the child's fluid intake.
Correct Answer is A
No explanation
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