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1. Describe the clinical manifestations of appendicitis with their underlying pathophysiology and associated lab findings. Include information about the typical timeframe for progression of symptoms. 2. What assessment findings would indicate that the appendix has or is about to rupture? Discuss how this would impact the nursing plan of care for the pediatric patient. 3. Describe at least three pain scales which can be used in pediatric pain assessment. Of the three, which would be most appropriate to use with the early school-aged child (six to eight years of age)? 4. What developmental factors need to be considered when assessing a child's self-rating of pain? 5. Why isn't the test for rebound tenderness consistently recommended with the pediatric patient? 6. What would be the priority nursing diagnoses in the care of the family coping with emergency surgery for appendicitis in a child? 7. Discuss the postoperative nursing management of the child with appendicitis. Include both the traditional open appendectomy as well as the laparoscopic approach. What are the early signs and symptoms that will be present in the pediatric patient who is developing sepsis? 9. What are the priority nursing interventions in the patient experiencing early sepsis? 10. What strategies can the nurse use to assist the family of a child who is hospitalized? 11. Develop a discharge plan for the pediatric patient being discharged on home antibiotic therapy. 12. Discuss the importance of including other members of the healthcare team in discharge planning.
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