A nurse is caring for a 3-day-old newborn and suspects Hirschsprung disease. What finding best supports the nurse's concern?

The infant has passed several tar-like stools.

The infant has not gained weight and has stooled once.

The infant has not stooled.

The infant has passed hard, pellet-like stools.

Answer and Explanation

The Correct Answer is C

A. Passing tar-like stools is normal for newborns within the first few days of life and does not indicate Hirschsprung disease.

B. Limited stooling and poor weight gain may suggest feeding issues but are not as indicative of Hirschsprung disease as the absence of stool.

C. The absence of stool (failure to pass meconium within 24-48 hours) is a classic sign of Hirschsprung disease, a condition where the absence of ganglion cells in the intestines leads to a blockage.

D. Passing hard, pellet-like stools may indicate constipation but is not specific to Hirschsprung disease, especially in a newborn.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Fluid intake is usually restricted to prevent fluid overload, which can worsen edema and hypertension in acute glomerulonephritis.

B. Administering antibiotics may be necessary, especially if the condition is secondary to a streptococcal infection, which is a common cause of acute glomerulonephritis.

C. Rest is typically encouraged rather than frequent ambulation, as activity can exacerbate symptoms.

D. Daily weights, not weekly, are crucial for monitoring fluid balance in acute glomerulonephritis.

A. Testing the urine for glucose levels regularly B. Weighing on the same scale each day C. Increasing oral fluid intake D. Following a low-potassium diet while on furosemide therapy

Correct Answer is B

Explanation

A. Regular testing of urine for glucose is not specific to nephrotic syndrome and is more relevant for managing diabetes.

B. Weighing the child on the same scale each day is essential for monitoring fluid status and detecting early signs of fluid retention or loss, which are critical in managing nephrotic syndrome.

C. Increasing oral fluid intake may not be recommended due to the risk of fluid retention and edema, which are common in nephrotic syndrome.

D. While monitoring potassium levels is necessary when on diuretics like furosemide, a low-potassium diet is not routinely required unless hyperkalemia is present.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a 3-day-old newborn and suspects Hirschsprung disease. What finding best supports the nurse's concern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has acute glomerulonephritis. Which intervention should the nurse include in the plan when caring for this client?

Correct Answer is B

Explanation

In caring for a pediatric client with nephrotic syndrome, which intervention should be included in the plan of care?

Correct Answer is B

Explanation

During a routine assessment of an 8-month-old, the nurse is assessing primitive reflexes. Which finding should the nurse expect for an infant of this age?

The nurse analyzes the laboratory results of a pediatric client with hemophilia. The nurse understands which result will most likely be abnormal in this client?

A nurse is caring for a 3-day-old newborn and suspects Hirschsprung disease. What finding best supports the nurse's concern?

A nurse is performing a developmental assessment on a 4-year-old client. What assessment finding would warrant further investigation?

A nurse is providing teaching to the parents of a toddler who has iron-deficiency anemia and is taking iron supplements. Which statement by the parents indicates an understanding of the teaching?

A 4-year-old client presents to the emergency department with drooling, agitation, and inability to cough. The nurse should recognize these findings are associated with which diagnosis?

During the assessment of a pediatric client with celiac disease, the nurse would most likely note which physical finding?

A nurse is providing discharge instructions to a parent and their school-age child who has juvenile idiopathic arthritis (JIA). What should the nurse include in the discharge instructions to the family?