A parent calls the pediatric clinic to make an appointment for ...

[iveyjurea]

A parent calls the pediatric clinic to make an appointment for her child who complains of periumbilical pain that has progressed to right lower quadrant pain. Later the parent calls to cancel the appointment, stating that the pain went away spontaneously
 
  after the child used a heating pad. What action by the nurse is most appropriate?
  A.
  Ask the parent if the child has diarrhea or a fever.
  B.
  Encourage the parent to keep the appointment anyway.
  C.
  Instruct the parent to take the child to an emergency department.
  D.
  Reassure the parent she can bring the child in if the pain returns.

Question 2

A new nurse is caring for a toddler with failure to thrive (FTT). Which action by the new nurse would cause the preceptor nurse to intervene?
 
  A.
  Collaborating with laboratory to schedule blood draws well before mealtime
  B.
  Hiding needed medication and supplements in child's favorite food
  C.
  Teaching parents how a child's nutrition needs differ from an adult's
  D.
  Weighing the child at the same time each day on the same scale

[jharrington11]

Answer to Question 1

ANS: C
This child has the classic pain presentation of appendicitis. Appendicitis pain that resolves spontaneously is often indicative of perforation. The child needs to be seen in an emergency department. The other actions are not appropriate at this time.

Answer to Question 2

ANS: B
Hiding medications in a child's favorite food is deleterious, because it may make the child mistrustful of the nurse and may cause the child to refuse to eat favorite foods. The preceptor should intervene and correct the new nurse taking this action. The other interventions are appropriate.

[iveyjurea]

Excellent

[kalskdjl1212]

TYSM