Author Question: A 10-year-old boy has been admitted to the hospital with respiratory acidosis. The nurse suspects ... (Read 103 times)

ghost! · **on:** Jul 22, 2018

A 10-year-old boy has been admitted to the hospital with respiratory acidosis. The nurse suspects that which of the following conditions most likely caused the child to develop this condition?

1. Noncompliance with type 2 diabetic medications
2. Severe diarrhea for several days
3. Obesity
4. Hyperthyroidism

Question 2

A client is admitted to the clinical facility with acute abdominal pain. The physician determines that the client has appendicitis. An appendectomy is scheduled to take place in three hours.

While waiting for the surgery, the client reports the pain has subsided. What initial action by the nurse is indicated? 1. Determine when the client can be medicated for pain again.
2. Contact the physician.
3. Contact the surgery department.
4. Notify the nursing supervisor.

aprice35067 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. Obesity

Rationale:
The obese child may develop chest abnormalities and hypoventilation. Noncompliance with diabetic medications, severe diarrhea, and hyperthyroidism would all result in metabolic acidosis.

Answer to Question 2

2. Contact the physician.

Rationale:
The pain relief being experienced by the client is consistent with rupture of the appendix. The physician should be notified. If the appendix has ruptured, the risk of peritonitis will increase. The next time the client can be medicated for pain is not relevant for this client. Notification of the surgery department and the nursing supervisor should not be completed before contact with the physician.