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Exam 3 Quiz Appendicitis Questions with Latest Update
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Exam 3 Quiz Appendicitis Questions with Latest Update
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Exam 3 Quiz Appendicitis Questionswith Latest Update
An adolescent is being seen in the clinic for abdominal pain with a fever. In what order
should the nurse assess the abdomen? Auscultate, Inspect, Palpate, Percuss - Answer-
Inspect, Auscultate, Percuss, Palpate
A child is admitted with constipation and a diagnosis of possible appendicitis. The child
is in acute pain. Which nursing interventions would be appropriate prior to surgery to
decrease pain? Select all that apply.
offer an ice pack
Apply a heating pad
Assume a position of comfort
Limit the child's activity
Request a prescription for a cathartic - Answer-Offer an ice pack
Assume a position of comfort
Limit the child's activity
A 10 year old male is 24 hours post appendectomy. He is awake, alert, and oriented. He
tells the nurse that he is experiencing pain. He has a prescription for morphine 1 to 2
mg PRN for pain what is the priority nursing action in managing the child's pain?
Change the child's position in bed
Obtain vital signs with a pain score Administer 1 mg morphine as prescribed Perform a
head-to-toe assessment - Answer-Obtain vital signs with a pain score
Change the child's position in bed Administer 1 mg morphine as prescribed
A typically developing preschool child is experiencing pain after an appendectomy.
Which data collection tool is the most appropriate for the nurse to use to assess pain?
visual analog scale
FLACC scale
numerical Pain Scale
faces pain rating scale - Answer-The nurse should use the faces pain rating scale for
children Age 3 or older, the visual analog and numerical scales are used with adults for
older children who count well. The faces, legs, activity, cry, controllability (FLACC) scale
is a behavioral scale that is appropriate for very small children or non-verbal children.
A seven-year-old has an appendectomy on November 12th. He has had pain for the last
24 hours. There is a prescription to administer acetaminophen with codeine every 3 to 4
hours as needed. The nurse is beginning the shift, and the child is requesting pain
medication. The nurse reviews the chart for pain history. Based on the information in the
medical record, what should the nurse do next?
Administer the acetaminophen with codeine
Distract the child by giving him breakfast
Instruct the child to take deep breaths and blow explain away
, Assess the child again in 1 hour - Answer-Administer the acetaminophen with codeine
When the nurse is obtaining the initial health history from a 10 year old child with
abdominal pain and suspected appendicitis, which question would be most helpful in
eliciting data to help support the diagnosis?
Where did the pain start?
What did you do for the pain?
How often do you have a bowel movement?
Is the pain continuous or does it let up? - Answer-Where did the pain start?
When developing the plan of care for a school-age child with a suspected diagnosis of
appendicitis who has severe abdominal pain, the nurse would expect to include which
measure in the child's plan of care?
application of a heating pad
insertion of a rectal tube
application of an ice bag
administration of an intravenous narcotic - Answer-application of an ice bag
Which assessment finding should alert the nurse to suspect appendicitis in a male
adolescent with severe abdominal pain?
the abdomen appears slightly rounded bowel sounds are heard twice in two minutes
all four abdominal quadrants reveal tympany
the client demonstrates a cremasteric reflex - Answer-bowel sounds are heard twice in
2 minutes
An adolescent client scheduled for an emergency appendectomy is to be transferred
directly from the emergency department to the operating room. Which statement by the
client should the nurse interpret as most significant?
All of a sudden, it does not hurt at all.
The pain is centered around my navel.
I feel like I'm going to throw up.
It hurts when you press on my stomach. - Answer-All of a sudden, it does not hurt at all.
What should be the priority assessment for an adolescent on return to the nursing unit
after an appendectomy?
the dressings on the surgical site
intravenous fluid infusion site
NG tube function
amount of pain - Answer-the dressing on the surgical site.
An adolescent who has had an appendectomy and developed peritonitis has nausea.
Which intervention should be should the nurse do first?
administer an antiemetic
irrigate the NG tube
notify the surgeon
take the blood pressure - Answer-irrigate the NG Tube
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