Appendicitis Case Study (Peds) (30 min)
Included In This Lesson
Study Tools For Appendicitis Case Study (Peds) (30 min)
Outline
A 4-year-old girl comes into the emergency room for nausea, vomiting, fever and abdominal pain. The mother reports that the child has been saying their tummy hurts for the past 3 days and not wanting to eat very much but that today she started to throw up.
What nursing assessment data and history questions would you obtain at this time?
The emesis is yellow and the child has thrown up 4 times. Upon assessment of the child, the girl cries anytime she sees a nurse or doctor and hugs her blanket and mother. The nurse notes tears, pink dry skin and a patent airway. The nurse stays in the room and plays with the child until the nurse is finally able to get a set of vitals:
HR 122
RR 28
BP 91/52
Temp 101°F axillary
The child still will not let anyone auscultate or palpate her abdomen. The doctor orders blood work, Tylenol and an X-Ray of the abdomen. The nurse draws the blood work and sends the child to X-Ray with her mother.
Which labs do you expect will be abnormal for the child?
Before administering the Tylenol, what should the nurse check?
The child has returned from X-Ray and is cuddled up with her mother and blanket. The child still will not let the nurse listen with her stethoscope but isn’t crying anymore. The X-Ray has resulted and shows the child has appendicitis. The nurse knows she needs to prepare the parents and the child for being admitted to the hospital and surgery. A re-check in vital signs shows the following:
HR 110
BP 95/53
RR 22
Temp 101.2°F axillary
The OR schedules the child’s surgery for tomorrow at 6 AM and the hospital room is ready for the child to be admitted to overnight. Which non-pharmacological interventions should the nurse implement at this time to address the child's fever
What would be the most concerning behavior that the nurse should be watching out for in the child?
What is the most important thing for the nurse to educate the mother on before sending them to the room?
Study Guide pre LPN-RN
Concepts Covered:
- Cardiac Disorders
- Cardiovascular
- Emergency Care of the Cardiac Patient
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Gastrointestinal
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Lower GI Disorders
- Central Nervous System Disorders – Brain
- Neurological
- Noninfectious Respiratory Disorder
- Respiratory
- Hematologic Disorders
- Delegation
- Perioperative Nursing Roles
- Acute & Chronic Renal Disorders
- Respiratory Emergencies
- Disorders of the Adrenal Gland
- Documentation and Communication
- Preoperative Nursing
- Legal and Ethical Issues
- Immunological Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Cognitive Disorders
- Musculoskeletal Trauma
- Intraoperative Nursing
- Medication Administration
- Vascular Disorders
- Renal Disorders
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Gastrointestinal Disorders
- Newborn Complications
- Peripheral Nervous System Disorders
- Studying
- Integumentary Disorders
- Communication
- Microbiology
- Emergency Care of the Trauma Patient
- Urinary Disorders
- Integumentary Disorders
- Musculoskeletal Disorders
- Circulatory System
- EENT Disorders
- Postoperative Nursing
- Neurological Emergencies
- Disorders of Thermoregulation
- Neurological Trauma
- Basics of NCLEX
- Fundamentals of Emergency Nursing
- Integumentary Important Points
- Multisystem
- Test Taking Strategies
- Tissues and Glands
- Urinary System
- Emergency Care of the Neurological Patient
- Neurologic and Cognitive Disorders
- Central Nervous System Disorders – Spinal Cord
- Renal and Urinary Disorders
- Nervous System
- Respiratory Disorders
- Respiratory System
- Infectious Disease Disorders
- EENT Disorders
- Emergency Care of the Respiratory Patient
- Health & Stress
- Skeletal System
- Endocrine System
- Hematologic System
- Digestive System
- Reproductive System
- Endocrine and Metabolic Disorders
- Muscular System
- Sensory System
- Basics of Human Biology
- Adult
- Anxiety Disorders
- Depressive Disorders
- Dosage Calculations
- Understanding Society
- Concepts of Pharmacology
- Newborn Care
- Adulthood Growth and Development
- Pregnancy Risks
- Postpartum Complications
- Substance Abuse Disorders
- Bipolar Disorders
- Learning Pharmacology
- Psychotic Disorders
- Prenatal Concepts
- Prefixes
- Suffixes
- Fetal Development
- Terminology
- Proteins
- Statistics
- Med Term Basic
- Med Term Whole
- Labor Complications
- Labor and Delivery
- Postpartum Care
- Hematologic Disorders
- Cardiovascular Disorders
- Musculoskeletal Disorders
- Oncologic Disorders
- Eating Disorders
- Personality Disorders
- Trauma-Stress Disorders
- Developmental Considerations
- Concepts of Mental Health
- Psychological Emergencies
- Somatoform Disorders
- Prioritization
- Factors Influencing Community Health
- Community Health Overview