Author Question: The mother of a child with an umbilical hernia calls the clinic and reports to the nurse that the ... (Read 34 times)

theo · **on:** Jul 22, 2018

The mother of a child with an umbilical hernia calls the clinic and reports to the nurse that the child has been vomiting and is complaining of pain in the abdominal area. The nurse would most appropriately instruct the mother to:

1. Contact the physician.
2. Keep the child on clear liquids.
3. Apply an ice pack to the abdomen.
4. Administer acetaminophen (Tylenol) suppositories to the child.

Question 2

The nurse is caring for an older client whose husband died approximately 6 weeks ago. The client says, There's no one left to care about me. Everyone that I have loved is now gone. The nurse would make which response to the client?

1. That doesn't sound like the real you talking
2. I'm sure you have someone if you think hard enough.
3. It sounds as though you are feeling all alone right now.
4. I don't believe that, and I really don't think you do either.

tandmlomax84 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1

Rationale: Vomiting, pain, and irreducible mass at the umbilicus are signs of a strangulated her-nia. The parents should be instructed to contact the physician immediately if strangulation is suspected. Keep the child on clear liquids, apply an ice pack to the abdomen, and adminis-ter acetaminophen (Tylenol) suppositories to the child are incorrect, can cause harm to the child, and delay emergency treatment measures that are required.

Answer to Question 2

3

Rationale: The client is experiencing loss because of the recent death of her husband and is ex-pressing feelings of hopelessness. The therapeutic response by the nurse is the one that attempts to translate words into feelings. The statements in That doesn't sound like the real you talking and I don't believe that, and I really don't think you do either. deny the client's feelings. The statement in I'm sure you have someone if you think hard enough. puts distance between the nurse and client because it does not address the client's concerns.