Chapter 5. Eating Disorders
1.The nurse is assessing a child admitted to the hospital for abdominal pain. Which of
the following findings by the nurse would be typical of those seen in appendicitis?
anorexia, nausea, and vomiting preceded the pain according to the history
a. provided by the caregivers
b. a subnormal temperature for the last 2 days
pain that was vague and somewhat localized to the periumbilical area and
c. gradually migrated to the right lower quadrant
d. night time chills for 1 week
ANS: C
Feedback
Incorrect. Anorexia, nausea, and vomiting preceding the pain according to the
history provided by the caregivers is not the typical finding seen in appendicitis.
A
Incorrect. A subnormal temperature for the last 2 days is not the typical finding
seen in appendicitis.
B
Correct. Pain that was vague and somewhat localized to the periumbilical area
and gradually migrated to the right lower quadrant is the typical finding seen in
C appendicitis.
Incorrect. Night time chills for 1 week is not the typical finding seen in appendicitis.
D
2.A pediatric client presents to the emergency department with acute abdominal pain followed
by anorexia and nausea. The nurse suspects appendicitis. Upon palpation, the nurse anticipates
identifying pain localized in which area(s) of the abdomen? Select all that apply.
, a. costovertebral angle c. left lower quadrant
b. right lower quadrant d. periumbilical area
ANS: B, D
Feedback
The pain associated with appendicitis typ
periumbilical area, gradually migrating to the right lower quadrant.
The pain associated with appendicitis typically is localized at the
periumbilical area, gradually migrating to the right lower
Correct quadrant.
The pain of appendicitis is not associated with discomfort in
the costovertebral angle.
The pain of appendicitis is not associated with discomfort in the left
lower quadrant.
Incorrect
3.The infant with hypertrophic pyloric stenosis will eventually:
a. experience spontaneous recovery in 75% of cases
b. stop eating and go into a life-threatening decline
c. have projectile vomitus propelled up to several feet
d. pass an unusually large bowel movement
ANS: C
Feedback
Incorrect. The infant with hypertrophic pyloric stenosis will not eventually
experience spontaneous recovery in 75% of cases. Treatment for pyloric stenosis is
a
surgical procedure called a pyloromyotomy.
A
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