The mother of a child with an umbilical hernia calls the clinic and reports to the nurse that the child has been vomiting and is complaining of pain in the abdominal area. The nurse would most appropriately instruct the mother to:
1. Contact the physician.
2. Keep the child on clear liquids.
3. Apply an ice pack to the abdomen.
4. Administer acetaminophen (Tylenol) suppositories to the child.
1
Rationale: Vomiting, pain, and irreducible mass at the umbilicus are signs of a strangulated her-nia. The parents should be instructed to contact the physician immediately if strangulation is suspected. "Keep the child on clear liquids," "apply an ice pack to the abdomen," and "adminis-ter acetaminophen (Tylenol) suppositories to the child" are incorrect, can cause harm to the child, and delay emergency treatment measures that are required.
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