Appendicitis
What are the signs and symptoms of appendicitis?
-Periumbilical pain that radiates to the right lower quadrant.
-Nausea and vomiting
-Loss of appetite
-Fever
How can applying Piaget's theory assist the medical team while caring for children in the hospital environment?
Applying Piaget's theory of cognitive development to the context of a hospital stay can provide valuable insights into how children of different developmental stages understand and cope with medical experiences.
Explain Trust vs. Mistrust (Birth to 1 year):
Infants learn to trust their caregivers to meet their needs. Success leads to feelings of safety and security.
Using Piaget's theory, at what stage do children love the game of peek-a-boo?
Sensorimotor stage - object permanence.
The nursing assessment begins with gathering a thorough patient history. Key areas to focus on include:
Explain the Sensorimotor Stage (Birth to 2 years)
In this stage, infants learn about the world through their senses and actions. They develop object permanence and understand that objects exist even when they cannot be seen.
Explain Autonomy vs. Shame and Doubt (1 to 3 years):
As toddlers become more mobile and independent, they learn to assert their autonomy. Successful navigation leads to confidence, while failure can result in feelings of shame.
At what age does a child develop their pincer grasp?
9-12 months
(fine motor skill)
Upon palpitation of a child's abdomen with a suspected appendicitis, what finding would confirm this diagnosis?
Positive Rovsing's sign
Psoitive Psoas Sign
Rebound tenderness with palpation to RLQ of abdomen.
Explain the Preoperational Stage (2 to 7 years):
Children begin to use language and think symbolically, but their thinking is still intuitive and egocentric. They struggle with understanding the concept of conservation (the idea that quantity doesn't change even when its shape does).
Explain Initiative vs. Guilt (3 to 6 years):
Children begin to initiate activities and assert control over their environment. If encouraged, they feel capable; if discouraged, they may feel guilt over their efforts.
At what age does a child walk independently?
12-15 months
(gross motor skill)
What diagnostic Studies can be performed to assist with diagnosing a patient with suspected appendicitis?
Blood tests
Ultrasound
CT
Explain the Concrete Operational Stage (7 to 11 years):
During this stage, children start to think logically about concrete events. They gain a better understanding of the concept of conservation and can perform operations mentally rather than just physically.
Explain Industry vs. Inferiority (6 to 12 years)
At this stage, children work towards competence and mastery of skills. Success leads to a sense of industry, while failure can lead to feelings of inferiority.
How many words should a developmentally appropriate 3-year-old speak?
900
Identify nursing interventions for a patient with appendicitis.
pain management
fluid management
Monitor vital signs
Educate the patient and/or family about the treatment plan.
Explain the Formal Operational Stage (12 years and up):
Adolescents develop the ability to think abstractly and critically. They can formulate hypotheses and consider possible outcomes, allowing for more complex reasoning.
Explain Identity vs. Role Confusion (12 to 18 years)
Adolescents explore their identity and sense of self. Successful resolution leads to a strong sense of identity, while failure can result in confusion about one's place in the world.
At what age does a child start to experience separation anxiety?
8-12 months