The nurse is preparing to ambulate a school-age client who had an ...

[mydiamond]

The nurse is preparing to ambulate a school-age client who had an appendectomy. In addition to pharmacological pain management, the nurse can use which nonpharmacological pain-management strategy for this client?
 
  1. A heating pad
  2. A warm, moist pack
  3. A pillow on the abdomen
  4. An ice pack

Question 2

A neonate is fed 20 mL of formula every three hours by orogastric lavage. At the beginning of this feeding, the nurse aspirates 15 mL of gastric residual. Which action by the nurse is the most appropriate?
 
  1. Withhold the feeding and notify the healthcare provider.
  2. Replace the residual and continue with the full feeding.
  3. Replace the residual but only give 5 mL of the feeding.
  4. Withhold the feeding and check the residual in three hours.

[nhea]

Answer to Question 1

Correct Answer: 3
Rationale: A pillow placed on the abdomen can be a nonpharmacological strategy to decrease discomfort after an appendectomy. Heat and ice are not used on the incisional area as they can impair the healing process of the wound.

Answer to Question 2

Correct Answer: 1
Rationale: Residual of more than half the amount of feeding indicates a feeding intolerance and could be a sign of necrotizing enterocolitis. Early detection of enterocolitis is essential, and aggressive management is required. Therefore, the healthcare provider should be notified of this finding. The amount of residual is too much to replace and continue with the feeding, and waiting for three hours to recheck the residual could delay treatment of a serious condition.

[mydiamond]

Thank you

[nhea]

No problemo