Author Question: The nurse is caring for a pediatric client recovering from surgery for a perforated appendix. Which ... (Read 124 times)

Cooldude101 · **on:** Jun 25, 2018

The nurse is caring for a pediatric client recovering from surgery for a perforated appendix. Which nursing diagnosis should the nurse use to guide this client's care during the immediate postoperative period?

A) Risk for Chronic Pain
B) Risk for Impaired Perfusion
C) Risk for Deficient Fluid Volume
D) Risk for Infection

Question 2

The nurse identifies the diagnosis of Interrupted Family Processes for a child who sustained a brain injury during an automobile accident.

Which nursing intervention would support this diagnosis?
A) Teach the family the importance of using seat belts.
B) Encourage the family to express feelings.
C) Refer the family to support services in the community.
D) Explain rules for visiting in the Intensive Care Unit.

Koolkid240 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: D

Since the client is recovering from an appendectomy, the client will most likely have acute pain. There is no evidence to suggest the client is at risk for impaired perfusion or deficient fluid volume. Because the appendix ruptured before surgery, the client is at risk for infection, specifically peritonitis.

Answer to Question 2

Answer: B

While families may need education about seat belts and sources of support, it is not the optimal time to implement such teaching at this point in the crisis. It is optimal to find out the family's perception of what is going on and what they feel their needs are. The best way to determine this is to encourage them to express their feelings. Timelines for visitation are appropriate but are not the priority.