The nurse is caring for a child admitted with acute abdominal pain and possible appendicitis. Which is appropriate to relieve the abdominal discomfort?
a. Place in Trendelenburg position.
b. Allow to assume position of comfort.
c. Apply moist heat to the abdomen.
d. Administer a saline enema to cleanse bowel.
ANS: B
The child should be allowed to take a position of comfort, usually with the legs flexed. The Trendelenburg position will not help with the discomfort. In any instance in which appendicitis is a possibility, there is a danger in administering a laxative or enemas or applying heat to the area. Such measures stimulate bowel motility and increase the risk of perforation.
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