A nurse is assisting with the care of a group of pediatric clients. Which of the following actions should the nurse take first?
A.
Deliver a breakfast tray to a child who has been administered regular insulin.
B.
Complete pin site care for a child who is in skeletal traction.
C.
Provide clear liquids to a child who is 4 hr postoperative following a laparoscopic appendectomy.
D.
Administer acetaminophen to a child who has a temperature of 101.2°F (38.4°C).
The correct answer is:
C. Provide clear liquids to a child who is 4 hours postoperative following a laparoscopic appendectomy
Explanation:
For a child who is 4 hours postoperative from a laparoscopic appendectomy, providing clear liquids is a priority because it is essential for assessing the child’s tolerance to oral intake and ensuring that the gastrointestinal system is functioning properly after surgery. Early reintroduction of clear liquids can help prevent complications such as dehydration and support recovery.
Here’s why the other options are less urgent:
- A. Deliver a breakfast tray to a child who has been administered regular insulin: It is important to ensure that the child receives food in a timely manner after insulin administration to prevent hypoglycemia. However, this action might be prioritized after assessing other immediate postoperative needs.
- B. Complete pin site care for a child who is in skeletal traction: While pin site care is important for preventing infection and maintaining traction, it is typically not as urgent as addressing postoperative nutritional needs or ensuring proper postoperative recovery.
- D. Administer acetaminophen to a child who has a temperature of 101.2°F (38.4°C): Fever management is important, but it is not as immediate as ensuring postoperative recovery and fluid intake.
Correct answer: C