Author Question: A 9-year-old child has just been diagnosed with recurrent abdominal pain (RAP). In preparing for ... (Read 114 times)

lunatika · **on:** Jun 28, 2018

A 9-year-old child has just been diagnosed with recurrent abdominal pain (RAP). In preparing for discharge, the nurse should include what in the home care instructions to the parents?

a. Following a high-fiber diet
b. Using stimulant laxatives
c. Using ice packs on the abdomen when pain occurs
d. Sitting on the toilet for 30 minutes after each meal

Question 2

The nurse is conducting discharge teaching to an adolescent with a methicillin-resistant staphylococcus aureus (MRSA) infection. What should the nurse include in the instructions? (Select all that apply.)

a. Avoid sharing of towels and washcloths.
b. Launder clothes and bedding in cold water.
c. Use bleach when laundering towels and washcloths.
d. Take a daily bath or shower with an antibacterial soap.
e. Apply mupirocin (Bactroban) to the nares twice a day for 2 to 4 weeks.

sarajane1989 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
A high-fiber diet with possible addition of bulk laxatives is beneficial for children with RAP. Bulk-forming laxatives such as psyllium are recommended. Stimulant laxatives may produce painful cramping for the child. Warm packs, such as a heating pad, may help ease the discomfort. Bowel training is recommended to assist the child in establishing regular bowel habits. Thirty minutes is too long for the child to sit on the toilet. The time should be limited to 15 minutes.

Answer to Question 2

ANS: A, D, E
For MRSA infection, the adolescent should be provided with washcloths and towels separate from those of other family members. Daily bathing or showering with an antibacterial soap is also recommended. Mupirocin should be applied to the nares of those with MRSA infection twice daily for 2 to 4 weeks. Clothing should be laundered in warm to hot water, not cold, and bleach does not need to be used when laundering towels and washcloths.