Gastrointestinal Alternate Format Question

A nurse is assigned to care for a child who is scheduled for an appendectomy. Select the orders that the nurse anticipates will be prescribed.

1. Initiate and IV line.
2. Maintain an NPO status.
3. Administer a Fleet enema.
4. Administer preoperative medications.
5. Administer intravenous antibiotics.
6. Place a heating pad on the abdomen to decrease pain.

Answer: 1,2,4,5


Rationale: In the preoperative period, enemas or laxatives should not be administered. Additionally, heat is not applied to the abdomen. Any of these interventions can cause rupture of the appendix and resultant peritonitis.

HESI HINT: Preeclampsia

HESI HINT: The major goal of nursing care for a client with preeclampsia is to maintain uteroplacental perfusion and prevent seizures. This requires the administration of magnesium sulfate. Withhold administration of magnesium sulfate if signs of toxicity exist: Respirations<12/min., Absence of DTR's, or urine output < 30 ml/hr.

Can an R.N. Student be a C.N.A.

As an R.N. student, some State Boards of Nursing do allow you to become a CNA (Certified Nursing Assistant)without having to take a CNA course as long as you have completed comaparable coursework in the R.N. program. This usually means that if you have completed Fundamentals of Nursing with a passing grade, you can submit your transcript and an initial application to become a CNA. Please be advised that fees and a criminal background check may also be required. Please check with your State Board of Nursing for specific requirements in your state.