A 10-year-old boy is admitted to the hospital with a diagnosis of ...

[09madisonrousseau09]

A 10-year-old boy is admitted to the hospital with a diagnosis of appendicitis. He is nauseated, febrile, and complaining of severe abdominal pain radiating to the right lower quadrant.
 
  During a routine nursing check, he states that his stomach doesn't hurt anymore. The nurse should suspect that: a. he is anxious about surgery.
  b. his appendix has ruptured.
  c. he does not communicate effectively about pain.
  d. his nausea and vomiting have decreased, thereby relieving his abdominal pain.

Question 2

The nurse notes on assessment that a 1-year-old child is underweight, with abdominal distention, thin legs and arms, and foul-smelling stools. The nurse suspects failure to thrive associated with which condition?
 
  a. Celiac disease
  b. Intussusception
  c. Irritable bowel syndrome
  d. Imperforate anus

[Jbrasil]

Answer to Question 1

B
A classic symptom indicating appendix rupture is the sudden relief of pain. The boy may be anxious, but this will not cause his pain to disappear. There is no evidence to substantiate the assumption that he does not communicate effectively about pain. His nausea and vomiting have not decreased, nor will this affect his abdominal pain.

Answer to Question 2

A
These are classic symptoms of celiac disease. Intussusception is not associated with failure to thrive or underweight, thin legs and arms, and foul-smelling stools. Stools are like currant jelly.. Irritable bowel syndrome is characterized by diarrhea and pain, and the child does not typically have thin legs and arms. Imperforate anus is the incomplete development or absence of the anus in its normal position in the perineum. Symptoms are evident in early infancy.