A 14-year-old child is brought into the emergency room with manifestations consistent with a ruptured appendix. What is the first action that the nurse should take in the care of this child?
A) Apply oxygen.
B) Position flat in bed.
C) Place in the semi-Fowler's position.
D) Insert an indwelling urinary catheter.
C
Feedback:
If a child's appendix has already ruptured when the child is seen in the emergency department, the potential for peritonitis increases greatly. The child should be positioned in a semi-Fowler's position so that infected drainage from the cecum drains downward into the pelvis rather than upward toward the lungs. Oxygen is not indicated for this disorder. Positioning flat in bed could cause draining to move toward the lungs. An indwelling urinary catheter is not indicated for this disorder.
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