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?

Bradycardia.

Elevated temperature.

Lethargy.

Decreased abdominal girth.

Answer and Explanation

The Correct Answer is B

The correct answer is Choice B.

Choice A rationale: Bradycardia is not typically associated with a perforated appendix. Instead, tachycardia (increased heart rate) may occur due to pain and infection-related systemic responses. Bradycardia could indicate other unrelated medical issues and should still be monitored.

Choice B rationale: Elevated temperature is a key sign of infection and inflammation, which are common with a perforated appendix. The release of bacteria into the abdominal cavity can cause peritonitis, leading to fever as part of the body's immune response.

Choice C rationale: Lethargy can be a nonspecific symptom and may occur in various conditions. While it can be associated with severe infection, it is not a definitive indicator of a perforated appendix. Monitoring for more specific signs, like fever and pain, is crucial.

Choice D rationale: Decreased abdominal girth is unlikely and not indicative of a perforated appendix. Instead, an increase in abdominal girth due to fluid accumulation (ascites) or air (from perforation) would be more concerning and should be reported promptly.

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Correct Answer is A

Explanation

Choice A rationale:

Grapes are a choking hazard for toddlers due to their small size and round shape. Young children can easily choke on grapes if they are not cut into smaller pieces or grapes are not adequately supervised during consumption. Educating parents and caregivers about cutting grapes into smaller, more manageable pieces is crucial to prevent choking incidents.

Choice B rationale:

Oranges (choice B) are generally not considered a high choking hazard for toddlers. However, parents and caregivers should still exercise caution and cut oranges into small, manageable pieces to reduce the risk of choking.

Choice C rationale:

Potatoes (choice C) can be a choking hazard for toddlers if not prepared and served appropriately. It is essential to cut potatoes into small, soft pieces and ensure that toddlers are supervised during mealtime to prevent choking incidents.

Choice D rationale:

Corn (choice D) can also pose a choking hazard for toddlers, especially if served on the cob. To minimize the risk, parents and caregivers should cut corn into small, bite-sized pieces or remove it from the cob before serving to young children.

A. To prohibit medical personnel from touching the client's body. B. To stay with the client's body for 8 hr following their death. C. To bury the client's body within 24 hr of their death. D. To cremate the client's body.

Correct Answer is D

Explanation

The correct answer is d. To cremate the client’s body.

Choice A reason: This choice is incorrect because Hinduism does not generally prohibit medical personnel from touching the deceased’s body. In fact, it is customary for family members to prepare the body for cremation, which may include washing and dressing.

Choice B reason: This statement is incorrect as there is no specific tradition in Hinduism that requires the family to stay with the body for 8 hours following death.

Choice C reason: This option is incorrect because Hinduism typically does not prescribe burial within 24 hours of death. While some religions have specific time frames for burial, Hinduism generally prefers cremation over burial.

Choice D reason: This is the correct choice. Cremation is preferred in Hinduism and is usually performed as soon as possible, traditionally by the next day. It is believed to release the soul and help in its onward journey.

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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?

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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?