Practice Question
A school age child presents with fever, vomiting, and periumbilical pain on admission to the emergency department (ED). Following the initial pain assessment, the child now verbalizes a sudden relief of pain and the nurse observes an increase in abdominal distention. The nurse should recognize the assessment changes indicate which development?
Answer Choices:
Correct Answer:
Signs of perforation.
Rationale:
🟣 A child presenting with fever, vomiting, and periumbilical pain that suddenly resolves followed by abdominal distention suggests appendiceal rupture and peritonitis.
🟣 The sudden relief of pain occurs when the inflamed appendix perforates, releasing pressure and temporarily easing discomfort.
🟣 However, this is quickly followed by worsening abdominal distention, fever, and rigidity as infection spreads through the peritoneum.
🟣 This is a surgical emergency, requiring immediate medical intervention to prevent sepsis and further complications.
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This question is from RN Pediatrics with NGN-HESI 2025 October —Fall which contains 55 questions.
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From Exam
RN Pediatrics with NGN-HESI 2025 October —Fall
55 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi Pediatrics
- Answer Choices: 4