Author Question: A 14-year-old child is brought into the emergency room with manifestations consistent with a ... (Read 81 times)

@Brianna17 · **on:** Jun 27, 2018

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.

Question 2

An adolescent patient is diagnosed with hepatitis A. Which problem should the nurse consider when planning the care for this patient?

A) The patient will develop hypothermia.
B) The patient will become easily fatigued.
C) The patient's urine will be dark and infectious.
D) The patient will be very irritable and perhaps require sedation.

IRincones · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

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.

Answer to Question 2

B
Feedback:
The treatment for hepatitis A is increased rest because of fatigue. Hypothermia is not associated with hepatitis A. Dark infectious urine is not associated with this disease process. The patient will not be irritable and will not need sedation.