A nurse in the emergency department (ED) is caring for a 13-year-old client who presented with right lower quadrant abdominal pain, nausea, and fever. Exhibits The nurse has notified the provider of the client's 0700 assessment data and lab results. Which of the following prescriptions should the nurse anticipate? (Select all that apply.)
Explanation & Rationale
Given the client’s symptoms (right lower quadrant pain, nausea, fever) and elevated WBC count indicating a possible infection, the provider may prescribe IV antibiotics. This is especially important if there is a concern for appendicitis or another bacterial infection. B. The client may need to be kept NPO (nil per oral) in preparation for possible surgery or diagnostic imaging to prevent complications such as aspiration if surgery is needed. C. Promethazine is an antiemetic, but the priority in this case would be addressing the underlying condition (likely appendicitis) rather than just managing symptoms. However, it might be used later for symptomatic relief. D. Acetaminophen may be used for pain management, but with a suspected surgical condition, addressing the root cause is more critical. Pain management will likely be considered after the primary issue is addressed. E. With symptoms and lab results suggestive of appendicitis, the client may require surgery. Informed consent is necessary before any surgical procedure. F. An abdominal ultrasound is commonly used to assess for appendicitis in children and can help confirm the diagnosis by visualizing the appendix and assessing for inflammation. G. Enemas are not indicated in this case and could be harmful. They are not recommended for abdominal pain with a possible surgical condition like appendicitis.