A child is admitted to the pediatric floor for appendicitis. ...

[jc611]

A child is admitted to the pediatric floor for appendicitis. Which assessment finding will the nurse monitor that indicates the appendix has ruptured?
 
  a. Abdominal pain shifts from the left to the right side.
  b. Vomiting and diarrhea become more intense.
  c. Elevated temperature decreases to normal.
  d. Abdominal pain is relieved.

Question 2

A nurse is conducting a teaching session to adolescents about Crohn's disease. Which statement, made by the nurse, is the most accurate?
 
  a. Crohn's disease is responsive to dietary modifications.
  b. Crohn's disease can occur anywhere in the gastrointestinal tract.
  c. Edema usually accompanies this disease.
  d. Symptoms of Crohn's disease usually disappear by late adolescence.

[annierak]

Answer to Question 1

D
Abdominal pain is relieved when appendix rupture occurs. Pain in the right lower quadrant is suggestive of appendicitis. Abdominal pain does not shift from one side to the other. The child with appendicitis may have vomiting and diarrhea. A rupture does not intensify symptoms. Because peritonitis is associated with a ruptured appendix, the temperature would be elevated in the presence of infection.

Answer to Question 2

B
Crohn's disease can occur anywhere in the GI tract from the mouth to the anus and is most common in the terminal ileum. Maintaining a low-fiber, low-residue, and milk-free diet may give the child some relief; however, strict restrictions may not alleviate symptoms. Diarrhea and malabsorption from Crohn's disease cause weight loss, anorexia, dehydration, and growth failure. Edema does not accompany this disease. Crohn's disease is a long-term health problem. Symptoms do not typically disappear by adolescence.