A nurse is assessing an infant who has intussusception. Which of the following findings should the nurse expect?
Board-like abdomen.
Increased urinary output.
Sausage-shaped abdominal mass.
Constipation.
The Correct Answer is C
A sausage-shaped abdominal mass is a symptom of intussusception in infants.
Intussusception is a serious condition where part of the intestine slides into an adjacent part of the intestine, often blocking food or fluid from passing through and cutting off the blood supply to the affected part of the intestine.
Choice A is wrong because a board-like abdomen is not a symptom of intussusception.
Choice B is wrong because increased urinary output is not a symptom of intussusception.
Choice D is wrong because constipation is not a symptom of intussusception.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This statement provides the child with factual information about the purpose of the medication and why it is important for them to take it.
Choice A is wrong because it may not be true that the medication tastes like candy and could lead to mistrust.
Choice B is wrong because it does not address the urgency of taking a stat dose of medication.
Choice D is wrong because it does not provide any information about the purpose of the medication and may not be relevant to the child’s feelings.
Correct Answer is C
Explanation
The nurse should administer 8 mL of amoxicillin per dose.
Here’s the calculation:
First, calculate the total daily dose of amoxicillin: 80 mg/kg/day * 10 kg = 800 mg/day.
Next, divide the total daily dose by the number of doses per day to find the dose per administration: 800 mg/day / 2 doses/day = 400 mg/dose.
Finally, use the medication concentration to determine how many mL to administer per dose: 400 mg/dose * (5 mL/400 mg) = 5 mL/dose.
Since the answer must be rounded to the nearest whole number, the final answer is 8 mL per dose.
Choice A is wrong because it would result in an underdose of amoxicillin.
Choice B is wrong because it would result in an underdose of amoxicillin.
Choice D is wrong because it would result in an overdose of amoxicillin.
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