ATI Pediatric Exam 3 | Nurselytic

Correct Answer: D

Rationale: The correct answer is D: Administer an enema. Administering an enema is contraindicated in suspected appendicitis as it can cause the appendix to rupture due to increased pressure in the abdomen. A ruptured appendix can lead to serious complications such as peritonitis.
Therefore, the nurse should clarify this prescription with the provider to avoid potential harm to the child.


Choice A: Medicate the client for pain every 4 hours as needed - This is appropriate for managing pain in a child with suspected appendicitis.

Choice B: Maintain NPO status - Important to prevent further complications in case surgery is needed.

Choice C: Monitor oral temperature every 4 hours - Helpful in assessing for signs of infection.
Overall, administering an enema is the only choice that poses a significant risk to the child in this scenario.

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