A nurse is caring for a school-age child who has appendicitis. For which of the following findings should the nurse monitor as a manifestation of a perforated appendix and report to the provider?
Elevated temperature
Lethargy
Decreased abdominal girth
Bradycardia
The Correct Answer is A
A nurse caring for a school-age child who has appendicitis should monitor for several manifestations of a perforated appendix and report to the provider. According to my sources, one of the major complications of appendicitis is the perforation of the appendix, which can lead to peritonitis, abscess formation, or portal pylephlebitis. Perforation generally occurs 24 hours after the onset of pain. Symptoms include a fever of 37.7⁰C or greater, a toxic appearance, and continued abdominal pain or tenderness.
B- Lethargy is not mentioned as a manifestation of a perforated appendix.
C- Decreased abdominal girth is not mentioned as a manifestation of a perforated appendix.
D- Bradycardia, which refers to a slower than normal heart rate, is also not mentioned as a manifestation of a perforated appendix.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Splinting the incision with a pillow when changing positions can provide support and help minimize discomfort and pain in clients who have undergone a cesarean birth. It can help reduce strain on the incision site and provide a sense of stability and comfort.
A. "You can apply counterpressure to your back with each position change" may be helpful for managing back pain, but it does not specifically address the client's request for nonpharmacological interventions to manage pain when changing positions after a cesarean birth.
C. "You should change positions as little as possible" is not an appropriate response as it does not address the client's need to manage pain when changing positions. Encouraging movement and position changes, along with appropriate support, can aid in recovery and prevent complications such as blood clots and respiratory issues.
D. "You should use patterned-paced breathing when changing positions" is not specifically related to managing pain when changing positions after a cesarean birth. While breathing techniques can be useful for pain management during labor and certain procedures, they may not be the most effective strategy for managing pain when changing positions post-cesarean.
Correct Answer is C
Explanation
The Semi-Fowler's position is a sitting position with the head of the bed elevated at an angle between 30 to 45 degrees. This position helps to reduce swelling and promote comfort and respiratory function after a thyroidectomy. The elevation of the head and upper body helps to prevent pressure on the surgical site, reduces the risk of swelling, and facilitates breathing.
Dorsal recumbent in (option A) is incorrect because it, is a supine position with the knees flexed and the feet flat on the bed. This position is not typically used postoperatively for a subtotal thyroidectomy.
Supine in (option B) is incorrect because it, is a position where the client lies flat on their back with their face up. While this position may be used for some postoperative clients, it is not the best choice for a client who has undergone a thyroidectomy due to the risk of swelling and respiratory discomfort.
Left latera in (option D) is incorrect because it, is a side-lying position on the left side. This position may be used for clients undergoing certain surgical procedures or for certain medical conditions, but it is not specifically indicated for a client who has had a subtotal thyroidectomy.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
