Question

19.A child with appendicitis is schedule for surgery this evening. The nurse enters the room and sees the child's mother starting to place hot, wet washcloths on her daughter's abdomen so that "she will feel better."The nurse explains that this action is contraindicated because heat a. Can cause the appendix to rupture and cause peritonitis b. Can mask symptoms of acute appendicitis c. Will increase peristalsis throughout the abdomen d. Will arrest progression of the disease 20. A client is admitted with a diagnosis of rule-out cholecystitis. Which of the following client manifestations should alert a nurse to the possibility of this condition? a. Right upper quadrant abdominal pain after eating a hamburger and fries b. Nausea and vomiting after eating liver and onions c. Left lower quadrant abdominal pain after eating prime rib and a baked potato d. Heartburn after eating tacos and chili 21. A client is two days postoperative after an appendectomy. A nurse a uscultates high pitched bowel sounds on the uppe quadrants. Which of these interpretations and additional assessments nurse make? a. This is suggestive of the b. This is suggestive of infection; monitor the white blood cell count c. This is suggestive of obstruction; ask the client about the passage of latus d. This is suggestive of peritonitis; Measure the abdominal girth r quadrants and none on the lower should the return of peristalsis; record all bowel movements 22. The nurse is caring for a client with peptic ulcer disease. Which of the following observations should the nurse report immediately? SELECT ALL THAT APPLY a. Hypotension b. Diarrhea c. Headache d. Tachycardia e. Dark tarry stools nurse is caring for a client who is jaundiced. The nurse should implement 23. The which of the following in the plan for this client's pruritis? a. Monitor the client's temperature and assess the client's color b. Assist the client to take a cool bath c. Administer prescribed analgesic d. Encourage the client to eat a high protein, low-cholesterol diet

Answer 1

19 a Heat is never used as it may cause rupture of the appendix.

20a The severe pain may last upto an hour,and when it subsides there is residual tenderness in the right upper quadrant.The attacks of pain frequently occur 3 to 6 hours after a heavy meal or when the patient lies down.

21c This could bea sign of early bowel obstruction.

22 a,b,c,d,e

Assess for evidence of haematemesis,malaena stool,symptoms of shock such as hypotension,tachycardia to plan appropriate interventions.

23b Jaundice frequently causes pruritis,comfort measures include keeping air temperature cool,and humidity and by providing tepid baths.