A nurse is caring for a 6-week-old infant who has hypertrophic pyloric stenosis (HPS). Which of the following clinical manifestations should the nurse expect?
Ridged abdomen
Distended neck veins
Red currant jelly stools
Projectile vomiting
The Correct Answer is D
A. Rigid abdomen: A rigid abdomen is not a common finding in HPS. However, it is more typical in conditions such as intestinal obstruction.
B. Distended neck veins: Distended neck veins are not a typical manifestation of HPS. They may be associated with other cardiovascular or respiratory issues.
C. Red currant jelly stools: Red currant jelly-like stools are not typically seen in HPS. This description is often used to describe the appearance of stools in intussusception, which is a different gastrointestinal condition.
D. Projectile vomiting.
Hypertrophic pyloric stenosis is a condition in infants where the muscle at the outlet of the stomach (pylorus) becomes thickened and obstructs the passage of food from the stomach into the small intestine. Projectile vomiting is a characteristic symptom of HPS. The vomit is forceful and seems to shoot out of the infant's mouth, typically occurring after feeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Get 8 hours of sleep at night and take naps during the day:
While adequate sleep is generally important for overall health, it may not be the most critical factor for a patient with aplastic anemia. Aplastic anemia primarily affects blood cell production, and managing infection risk and blood counts are more crucial in this context.
B. Practice yoga and meditation to decrease stress and anxiety:
Stress reduction techniques, such as yoga and meditation, can be beneficial for anyone's overall well-being, but it's not the top priority for someone with aplastic anemia. Managing stress is essential, but again, reducing the risk of infections and maintaining adequate blood counts are more critical.
C. Eat animal protein and dark leafy vegetables each day:
Proper nutrition is essential for patients with aplastic anemia, as it can help support the production of red blood cells and maintain overall health. However, while a balanced diet is important, avoiding infections and minimizing exposure to contagions is more pressing.
D. Avoid exposure to others with acute infection:
This is the most crucial concept for patients with aplastic anemia. Aplastic anemia leads to a weakened immune system, making the patient highly susceptible to infections. Exposure to individuals with acute infections can be life-threatening for these patients. Preventing infections and maintaining adequate blood counts are paramount in the care of individuals with aplastic anemia.
Correct Answer is C
Explanation
A. "Palliative care focuses on the care of the client." - This statement is accurate. Palliative care is centered around providing comprehensive care that addresses the physical, emotional, social, and spiritual needs of the patient.
B. "Palliative care is an inter-professional approach to the delivery of care." - This statement is also accurate. Palliative care typically involves a team of healthcare professionals, including physicians, nurses, social workers, chaplains, and other specialists, who work collaboratively to provide holistic care.
C. "Palliative care is the same as hospice care." - This statement is incorrect. Palliative care and hospice care share similarities in that they both focus on improving the quality of life for patients with serious illnesses, but they are not the same. The key difference is that palliative care can be provided at any stage of a serious illness, even alongside curative treatments, while hospice care is typically provided when a patient has a terminal illness with a prognosis of six months or less to live.
D. "Palliative care includes symptom management in the cent" - This statement is accurate. Symptom management and relief of distressing symptoms are essential components of palliative care, with the goal of improving the patient's quality of life.
So, the statement in option C is incorrect, and the registered nurse should correct it by explaining the distinction between palliative care and hospice care to the client's family.
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