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Question 7: Who among the following pediatric patients should be assessed first by the nurse?
A. A child with skin rashes on his face and trunk
B. A child with two episodes of inconsolable crying while the knees are drawn over the abdomen and
then
plays between the episodes
C. A child with two episodes of soft stools during the shift
D. A child who had a cough for the past three days, with clear nasal discharge and is irritable
Correct Answer: B
Explanation: The pediatric patient that the nurse should assess first is a child with two episodes of
inconsolable crying while the knees are drawn over the abdomen and then plays between the
episodes.
This indicates appendicitis. The pattern of abdominal pain in appendicitis is as follows: pain occurs for
two
to three hours, pain is relieved in two to three hours, and then pain recurs and persists. During the
time
that pain subsides, the rupture of appendicitis may occur unnoticed.
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