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?
Rina’s NCLEX Study Plan
Concepts Covered:
- Cardiovascular
- Emergency Care of the Cardiac Patient
- Circulatory System
- Cardiac Disorders
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Hematology
- Gastrointestinal
- Liver & Gallbladder Disorders
- Lower GI Disorders
- Multisystem
- Neurological
- Nervous System
- Central Nervous System Disorders – Brain
- Renal
- Respiratory
- Urinary System
- Respiratory System
- Noninfectious Respiratory Disorder
- Basics of NCLEX
- Test Taking Strategies
- Respiratory Disorders
- Hematologic Disorders
- EENT Disorders
- Basics of Chemistry
- Adult
- Medication Administration
- Acute & Chronic Renal Disorders
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Studying
- Substance Abuse Disorders
- Disorders of the Adrenal Gland
- Behavior
- Infectious Disease Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Anxiety Disorders
- Renal Disorders
- Prenatal Concepts
- Vascular Disorders
- Gastrointestinal Disorders
- Peripheral Nervous System Disorders
- Integumentary Disorders
- Immunological Disorders
- Sexually Transmitted Infections
- Upper GI Disorders
- Microbiology
- Labor and Delivery
- Communication
- Proteins
- Newborn Care
- Hematologic System
- Urinary Disorders
- Eating Disorders
- Musculoskeletal Disorders
- Bipolar Disorders
- Terminology
- Pregnancy Risks
- Concepts of Population Health
- Factors Influencing Community Health
- Postpartum Complications
- Prioritization
- Psychotic Disorders
- Basics of Human Biology
- Neurologic and Cognitive Disorders
- Labor Complications
- Writing
- Statistics
- Community Health Overview
- Dosage Calculations
- Musculoskeletal Trauma
- Neurological Trauma
- Note Taking
- Cardiovascular Disorders
- Concepts of Mental Health
- Health & Stress
- Endocrine and Metabolic Disorders
- Cognitive Disorders
- Depressive Disorders
- Developmental Considerations
- Shock
- Documentation and Communication
- Legal and Ethical Issues
- EENT Disorders
- Fundamentals of Emergency Nursing
- Emotions and Motivation
- Renal and Urinary Disorders
- Digestive System
- Integumentary Disorders
- Intraoperative Nursing
- Fetal Development
- Basics of Mathematics
- Prenatal and Neonatal Growth and Development
- Childhood Growth and Development
- Preoperative Nursing
- Postoperative Nursing
- Neurological Emergencies
- Understanding Society
- Somatoform Disorders
- Reading
- Emergency Care of the Neurological Patient
- Infectious Respiratory Disorder
- Metabolism
- Oncologic Disorders
- Developmental Theories
- Basics of Sociology
- Emergency Care of the Trauma Patient
- Med Term Basic
- Med Term Whole
- Suffixes
- Central Nervous System Disorders – Spinal Cord
- Muscular System
- Neonatal
- Newborn Complications
- Male Reproductive Disorders
- Adulthood Growth and Development
- Perioperative Nursing Roles
- Concepts of Pharmacology
- Endocrine System
- Postpartum Care
- Trauma-Stress Disorders
- Psychological Disorders
- State of Consciousness
- Shock
- Skeletal System
- Learning Pharmacology
- Hematologic Disorders
- Prefixes
- Delegation
- Tissues and Glands
- Personality Disorders
- Basic
- Musculoskeletal Disorders
- Disorders of Thermoregulation
- Integumentary Important Points
- Reproductive System
- Psychological Emergencies
- Growth & Development
- Intelligence and Language
- Pediatric
- Sensory System