A child is admitted with suspected appendicitis. The child is experiencing abdominal pain. Which intervention by the nurse is most appropriate?

a. Palpate for rebound tenderness
b. Apply heat to abdomen
c. Position child on side with knees drawn
d. Encourage ambulation


C
The nurse would not palpate for rebound tenderness, because this will increase the pain and is not a reliable sign in children. Heat could cause a rupture and is never applied. Ambulation would increase pain.

Nursing

You might also like to view...

Marketing mix from a seller's point of view includes:

a. client service, charges, comfort, and con-necting. b. customer solution, cost, convenience, and communication. c. patient, physicians, perfection, and pub-licity. d. product, price, place, and promotion.

Nursing

A new mother asks if it is possible to have rooming-in with the newborn. What should the nurse respond to this patient's request?

A) It depends on whether the patient plans to breastfeed. B) Rooming-in allows increased maternal–newborn contact. C) This puts too much responsibility on a first-time mother. D) Resting for the first 3 days postpartum will be better for the patient.

Nursing

In order for nurses to demonstrate their value, they must attempt to quantify this value in pecuniary terms. How would the nurse interpret this statement?

1. Nurses must become more cost-effective in the provision of care. 2. Nurses must justify their salaries. 3. Nurse must determine the monetary value of their services. 4. Nurses must explain their worth in terms laymen can understand.

Nursing

A nurse is performing an admission physical examination on a patient who has been bedridden for a month

The nurse notices a pressure ulcer on the patient's left trochanter area that involves partial-thickness skin loss with damage to the subcutaneous tissue. The nurse reports this ulcer at what stage? a. Stage I b. Stage II c. Stage III d. Stage IV

Nursing