Difficulty: Medium
Average Score: 62%
Simulated
Passage / Scenario
A 13-year-old client with right lower quadrant abdominal pain, nausea, and fever. Client reports pain around belly button the previous evening, now in right lower quadrant. Abdomen soft with tenderness to palpation in right lower quadrant. Verbalizes increase in pain when right hip is flexed and rotated internally. Rates pain as 6 on a 0 to 10 pain scale. Client reports increase in right lower quadrant pain, rating pain as 9 on a 0 to 10 pain scale. Vomits 50 ml gastric contents into basin. WBC count 22,000/mm3, C-Reactive Protein 1.8 mg/dL.A nurse in the emergency department (ED) is caring for a 13-year-old client who presented with right lower quadrant abdominal pain, nausea, and fever. The nurse has notified the provider of the client's 0700 assessment data and lab results. Which of the following prescriptions should the nurse anticipate? (Select all that apply.)
Correct answer
A,B,E,F
Rationale
The correct answers are A, B, E, and F. A: Initiate IV antibiotics is correct to treat possible appendicitis. B: Maintain NPO status to prevent worsening of the condition. E: Obtain informed consent for surgery indicates preparation for possible appendectomy. F: Obtain abdominal ultrasound is to confirm the diagnosis. C: Giving promethazine doesn't address the underlying issue. D: Administering acetaminophen may mask symptoms. G: Administering enemas is not indicated for suspected appendicitis.