A nurse is assessing a 1-year-old child.
Which of the following disorders should the nurse suspect?
Intussusception.
Wilms tumor.
Pyloric stenosis.
Nephritic syndrome.
The Correct Answer is B
Choice A rationale
Intussusception is a serious condition in which part of the intestine slides into an adjacent part of the intestine. This “telescoping” often blocks food or fluid from passing through.
Intussusception also cuts off the blood supply to the part of the intestine that’s affected. It can lead to a tear in the bowel (perforation), infection and death of bowel tissue.
Choice B rationale
Wilms’ tumor is a rare kidney cancer that primarily affects children. Also known as nephroblastoma, Wilms’ tumor is the most common cancer of the kidneys in children. Wilms’ tumor most often affects children ages 3 to 4 and becomes much less common after age 52.
Choice C rationale
Pyloric stenosis is a condition that affects infants between birth and 6 months of age and causes forceful vomiting that can lead to dehydration. It’s the second most common reason why newborns have surgery. Pyloric stenosis can be fixed with a surgical procedure called pyloromyotomy.
Choice D rationale
Nephrotic syndrome is a kidney disorder that causes your body to excrete too much protein in your urine. Nephrotic syndrome is usually caused by damage to the clusters of small blood vessels in your kidneys that filter waste and excess water from your blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Petechiae, or small red or purple spots on the skin caused by minor bleeding from broken capillary blood vessels, are an objective finding. They can be seen and evaluated by the nurse during a physical examination.
Choice B rationale
Nausea is a subjective symptom. It is something the patient experiences and reports, but it cannot be directly observed or measured by the nurse.
Choice C rationale
Cyanosis, or bluish discoloration of the skin due to poor circulation or inadequate oxygenation of the blood, is an objective finding. It can be observed by the nurse during a physical examination.
Choice D rationale
Fever is an objective finding. It can be measured by the nurse using a thermometer.
Correct Answer is B
Explanation
Choice A rationale
Eyelid swelling is not a common side effect of sumatriptan. If a patient experiences this side effect, they should report it to their healthcare provider.
Choice B rationale
If the headache persists after taking sumatriptan, the patient can repeat the dose in 1 hour. This is a standard instruction for the use of sumatriptan in the treatment of migraine headaches.
Choice C rationale
Sumatriptan is not typically taken daily to prevent headaches. It is used to treat migraines once they have started.
Choice D rationale
Sumatriptan tablets should be swallowed whole, not chewed. Chewing the tablet could result in too much of the drug being released at once.
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