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 A
Explanation
Choice A rationale
The hospital pharmacist is the most appropriate resource for a nurse to consult for information on medication compatibility. Pharmacists have specialized knowledge and access to resources that provide information on drug interactions, including those between ampicillin and gentamicin sulfate. They can provide accurate and up-to-date information on whether these two medications can be safely administered together.
Choice B rationale
While the health care provider prescribes the medication, they may not have the most current or detailed information on drug compatibility. It is the pharmacist’s role to have this specialized knowledge.
Choice C rationale
Medication sales representatives are primarily focused on promoting their company’s products. They may not have comprehensive knowledge of drug interactions, especially between drugs from different companies.
Choice D rationale
The nurse manager oversees the nursing staff and coordinates care, but they may not have specific knowledge about all drug interactions. The hospital pharmacist is the most appropriate resource for this information.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
While monitoring abdominal girth can be important in patients with cirrhosis, especially those with ascites, it is not typically an assessment finding that requires immediate follow-up.
Choice B rationale
A blood pressure of 82/58 mm Hg is low and could indicate hypotension, which requires immediate follow-up.
Choice C rationale
A heart rate of 101/min is elevated and could indicate tachycardia, which requires immediate follow-up.
Choice D rationale
An oxygen saturation of 92% is lower than the normal range of 95% to 100%, indicating potential hypoxia, which requires immediate follow-up.
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