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 A
Explanation
Infants with heart failure often present with breathing trouble1, and administering oxygen can help improve oxygen delivery.
Choice B is wrong because placing an infant in a prone position does not help with heart failure.
Choice C is wrong because if an infant vomits within 1 hour of administration of digoxin, the dosage should not be repeated without consulting a healthcare provider.
Choice D is wrong because infants with heart failure may have feeding issues and providing less frequent, higher volume feedings may not be helpful34.
Correct Answer is B
Explanation
Deep-breathing and counting exercises can help the child relax and cope with anxiety before the procedure.
Choice A is wrong because a 30-minute teaching session may not be necessary or appropriate for a school-age child.
Choice C is wrong because it’s important to use clear and honest language when explaining the procedure to the child.
Choice D is wrong because it’s important to explain the procedure to the child in a calm and quiet environment, not in the playroom.
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