A nurse in an acute care facility is caring for a toddler.
For each assessment finding below, click to specify if the assessment finding is consistent with Crohn's disease, appendicitis, or intussusception. Each finding may support more than 1 disease process.
Stool
Abdominal findings
Pain rating
Vomiting
Temperature
The Correct Answer is {"A":{"answers":"C"},"B":{"answers":"C"},"C":{"answers":"A,B,C"},"D":{"answers":"B,C"},"E":{"answers":"A,B"}}
Rationale:
• Stool: The presence of blood and mucus in the stool (“currant jelly” stool) is classic for intussusception, caused by ischemia and mucosal sloughing of the affected bowel segment.
• Abdominal findings: A distended abdomen with a small, palpable, oblong mass in the right upper quadrant is characteristic of the telescoping bowel seen in intussusception.
• Pain rating: Severe, intermittent, colicky abdominal pain causing the child to draw knees to chest is hallmark of intussusception due to periodic intestinal obstruction and ischemia. Children with Crohn’s may report chronic mild to moderate pain, often intermittent. Pain in appendicitis is usually steady, localized and worsens over time.
• Vomiting : Vomiting is common in intussusception due to partial bowel obstruction, often light-colored and non-bilious in early stages. In appendicitis, nausea and vomiting are common early symptoms.
•Temperature: In Crohn's disease low-grade fever is common due to the chronic inflammatory process, while in appendicitis, low-grade fever is common due to inflammation or early infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. The client agreed to the procedure voluntarily: By witnessing the signature, the nurse verifies that the client is signing the consent form without coercion, fulfilling the legal requirement that consent is given voluntarily. This does not require the nurse to provide detailed explanations of the procedure.
B. The nurse explained the surgical procedure in detail: The responsibility for explaining the procedure, risks, and benefits lies with the surgeon or provider, not the nurse witnessing the consent. Witnessing only confirms voluntary agreement.
C. The nurse explained the risks and benefits of the surgery: Explaining risks and benefits is the provider’s legal obligation. The nurse’s role is to witness the client’s signature, not to provide detailed medical explanations.
D. The client knows they may no longer refuse the procedure: Clients always retain the right to refuse a procedure, even after signing consent. Witnessing does not override the client’s autonomy or ability to change their mind.
Correct Answer is A
Explanation
Rationale:
A. Metronidazole: This is the treatment of choice for bacterial vaginosis because it effectively targets anaerobic bacteria such as Gardnerella vaginalis, the main causative organism.
B. Doxycycline: This antibiotic is primarily used to treat Chlamydia trachomatis infections and is not effective for bacterial vaginosis.
C. Azithromycin: This medication is effective for Chlamydia trachomatis and Mycoplasma genitalium infections, not for bacterial vaginosis caused by anaerobes.
D. Acyclovir: This antiviral agent is used to treat herpes simplex virus infections and has no therapeutic effect against bacterial pathogens.
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