The nurse caring for a child with suspected appendicitis should question which order from the physician?
a. Keep patient NPO.
b. Start IV of D5/0.45 normal saline at 60 mL/hr.
c. Apply K-pad to abdomen prn for pain.
d. Obtain CBC on admission to nursing unit.
C
Feedback
A NPO status is appropriate for the potential appendectomy patient.
B An IV is appropriate both as a preoperative intervention and to compensate for
the short-term NPO status.
C A K-pad (moist heat device) is contraindicated for suspected appendicitis
because it may contribute to the rupture of the appendix.
D Because appendicitis is frequently reflected in an elevated WBC, laboratory data
are needed.
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