what intervention is contraindicated in a suspected case of appendicitis
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Nursing Elites

ATI RN

ATI Nursing Care of Children 2019 B

1. What intervention is contraindicated in a suspected case of appendicitis?

Correct answer: A

Rationale: Enemas are contraindicated in cases of suspected appendicitis because they can increase the risk of perforation. The pressure from the enema can exacerbate inflammation and potentially lead to the rupture of the appendix. Palpating the abdomen gently is essential for diagnosing appendicitis, as it helps identify the characteristic signs like rebound tenderness. Antibiotics are commonly used to treat the infection associated with appendicitis, and antipyretics are administered to manage fever, which is a common symptom of the condition. Therefore, enemas are the intervention to avoid in suspected appendicitis cases.

2. A nurse must do a venipuncture on a 6-year-old child. What consideration is important in providing atraumatic care?

Correct answer: B

Rationale: Showing the child the equipment before the procedure helps build trust and reduces fear. Using an 18-gauge needle is too large for a child, and multiple attempts can increase trauma. Restraining completely can increase fear and anxiety.

3. A parent calls the hospital nursing hotline and asks, 'My 8-week-old infant cries 8 hours a day, and is hard to console. Is that normal?' What should the nurse's response be to this parent?

Correct answer: B

Rationale: The correct response for the nurse to provide in this situation is to ask more questions to determine if the infant is displaying symptoms of colic. Colic is a common condition in infants that can lead to prolonged crying and fussiness. It is essential to assess for other symptoms before giving advice to the parent. Choices A, C, and D are incorrect because they do not address the possibility of colic or the need for further assessment of the infant's condition.

4. Which is the leading cause of death in infants younger than 1 year in the United States?

Correct answer: A

Rationale: Congenital anomalies are the leading cause of death in infants younger than 1 year in the United States.

5. What play activities should the nurse implement to encourage fluid intake for a child? (Select all that apply.)

Correct answer: D

Rationale: Encouraging fluid intake can be fun and engaging through activities like having a tea party, using a crazy

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