Recall Jenna from the chapter-opening scenario, a 4-year-old who has just been admitted to the pediatric unit after surgery for a ruptured appendix. Jenna is groggy from the anesthesia, but is scared. She complains of “tummy pain and Wants the tubes “out now She cries as the nurse approaches to perform an initial assessment

 

 

1. Why was Jenna at increased risk for ruptured appendix compared to a school-age child?

2. Jenna’s parents ask why she needs all of the tubes. What information should the nurse include related to the purpose of the nasogastric tube, the Foley catheter, and the PICC line?

3. Considering Jenna’s developmental age, bow can the nurse help Jenna adapt to the hospitalízation erperience? (Refer to Chapter 11)

4.What interventions are most appropriate with a 4-year-old to decrease the risk of pulmonary complications associated with surgery?

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