Get Answer: Mike Mortimer Healthy Question Guide
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Original Question
Mike Mortimer is a healthy, active 9-year-old boy who lives with his father. His mother died 6 months ago from metastatic breast cancer. At first, everyone at school was really nice to him, but lately, they have been teasing him about being a motherless orphan. He has started to wish he did not have to go to school. This morning he told his dad that he had a stomachache and asked to stay home, but his dad said he did not have a fever so he needed to get dressed and get going. The school nurse called his father at 11:30 to report that Mike had a fever and was feeling sick to his stomach. The nurse encouraged his dad to take him to the doctor. When Mike arrives at the doctor’s office, he reports severe pain in his lower right quadrant, nausea, and one emesis at school. Vital signs include the following: temperature 100.2°F oral; pulse 96 bpm; respirations 12/min; and BP 110/74 mmHg. Rebound tenderness is noted in McBurney point. CBC reveals a WBC count of 11,000/mm3, and ultrasound reveals an inflamed appendix. Mike is scheduled for surgery and admitted to the local acute care facility. Question 1 As you admit Mike to the pediatric unit, his father asks you to please give him something for pain. How do you respond? Question 2 Mike is scheduled to leave the unit for the operating room in 1 hour. What information will you gather to prepare him for surgery? Question 3 When Mike returns from the operating room, what priority assessments will you perform? Question 4 What teaching will you provide Mike and his dad prior to discharge?
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