A nurse is caring for a male infant who has a palpable mass in the upper right quadrant and stools mixed with blood and mucus. The nurse should recognize that which of the following diagnoses is associated with these findings?
Hypertrophic pyloric stenosis
Intussusception
Inguinal hernia
Tracheoesophageal fistula
The Correct Answer is B
Choice A reason: Hypertrophic pyloric stenosis is a condition in which the pyloric sphincter becomes thickened and obstructs the passage of food from the stomach to the duodenum. It causes projectile vomiting, dehydration, and weight loss, but not a palpable mass or bloody stools.
Choice B reason: Intussusception is a condition in which a segment of the intestine telescopes into another segment, causing obstruction, inflammation, and ischemia. It causes a palpable mass in the upper right quadrant, abdominal pain, and stools mixed with blood and mucus, also known as "currant jelly" stools.
Choice C reason: Inguinal hernia is a condition in which a part of the intestine protrudes through a weak spot in the abdominal wall near the inguinal canal. It causes a bulge in the groin area, especially when the infant cries or strains. It does not cause a mass in the upper right quadrant or bloody stools.
Choice D reason: Tracheoesophageal fistula is a congenital anomaly in which there is an abnormal connection between the trachea and the esophagus. It causes excessive drooling, choking, coughing, and cyanosis during feeding, but not a palpable mass or bloody stools.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Cranberry juice is not a good choice for a child who has had a tonsillectomy, as it is acidic and may cause pain and irritation to the throat. The nurse should avoid offering citrus juices or carbonated beverages to the child.
Choice B reason: Vanilla milkshake is also not a good choice for a child who has had a tonsillectomy, as it is thick and may coat the throat and interfere with healing. The nurse should avoid offering dairy products or foods that are sticky or hard to swallow to the child.
Choice C reason: Cubed ice is not a good choice for a child who has had a tonsillectomy, as it may be too cold and cause vasoconstriction and bleeding. The nurse should avoid offering very cold or very hot fluids to the child.
Choice D reason: Water is the best choice for a child who has had a tonsillectomy, as it is clear, bland, and hydrating. The nurse should encourage the child to drink plenty of water to prevent dehydration and promote healing.
Correct Answer is B
Explanation
Choice A reason: This statement is incorrect, as reports of thirst are not a manifestation of hemorrhage following a tonsillectomy. Thirst may be caused by dehydration, dry mouth, or fever, which are common after surgery.
Choice B reason: This statement is correct, as frequent swallowing is a manifestation of hemorrhage following a tonsillectomy. Swallowing may indicate that the child is bleeding from the surgical site and trying to clear the blood from the throat. The nurse should inspect the child's mouth and throat for signs of bleeding and notify the provider.
Choice C reason: This statement is incorrect, as mouth breathing is not a manifestation of hemorrhage following a tonsillectomy. Mouth breathing may be due to nasal congestion, pain, or swelling, which are expected after surgery.
Choice D reason: This statement is incorrect, as reports of pain are not a manifestation of hemorrhage following a tonsillectomy. Pain is a normal and expected outcome after surgery and should be managed with analgesics and comfort measures.
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