What intervention is contraindicated in a suspected case of ...

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What intervention is contraindicated in a suspected case of appendicitis?
 
  a. Enemas
  b. Palpating the abdomen
  c. Administration of antibiotics
  d. Administration of antipyretics for fever

Question 2

A child is being admitted to the hospital with acute gastroenteritis. The health care provider prescribes an antiemetic. What antiemetic does the nurse anticipate being prescribed?
 
  a. Ondansetron (Zofran)
  b. Promethazine (Phenergan)
  c. Metoclopramide (Reglan)
  d. Dimenhydrinate (Dramamine)

[ambernicolefink]

Answer to Question 1

ANS: A
In any instance in which severe abdominal pain is observed and appendicitis is suspected, the nurse must be aware of the danger of administering laxatives or enemas. Such measures stimulate bowel motility and increase the risk of perforation. The abdomen is palpated after other assessments are made. Antibiotics should be administered, and antipyretics are not contraindicated.

Answer to Question 2

ANS: A
Ondansetron reduces the duration of vomiting in children with acute gastroenteritis. This would be the expected prescribed antiemetic. Adverse effects with earlier generation antiemetics (e.g., promethazine and metoclopramide) include somnolence, nervousness, irritability, and dystonic reactions and should not be routinely administered to children. For children who are prone to motion sickness, it is often helpful to administer an appropriate dose of dimenhydrinate (Dramamine) before a trip, but it would not be ordered as an antiemetic.

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Thank you

[ambernicolefink]

No problemo