In preparing for a child’s appendectomy, which preoperative prescription should raise concern?

Administering a Fleet enema before surgery raises concern primarily due to the potential for dehydration and electrolyte imbalances in children, especially considering their smaller body size and different physiological responses compared to adults. Given that appendicitis and its treatment can already place stress on a child's body, introducing an enema may lead to unnecessary complications. Enemas can also cause discomfort, anxiety, and may result in bowel perforation in severe cases of appendicitis, thus complicating the surgical procedure and the child's overall condition.

In contrast, starting IV fluid therapy helps maintain hydration levels, which is crucial for children undergoing surgery. Constant monitoring of vital signs is essential to detect any changes that could indicate complications, and providing comfort measures is important to alleviate anxiety and pain associated with the surgical procedure. Therefore, the administration of a Fleet enema before surgery stands out as a practice that could potentially compromise the child's safety and wellbeing.