A nurse is caring for a male infant who has a palpable, sausage-shaped 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?
Intussusception
Tracheoesophageal fistula
Hypertrophic pyloric stenosis
Inguinal hernia
The Correct Answer is A
A. Intussusception typically presents with a palpable, sausage-shaped mass in the abdomen and stools mixed with blood and mucus.
B. Tracheoesophageal fistula presents with respiratory distress and may involve aspiration, but it does not typically present with abdominal mass or bloody stools.
C. Hypertrophic pyloric stenosis presents with projectile vomiting and may cause dehydration but does not typically present with bloody stools.
D. Inguinal hernia presents with a bulge in the groin area but is not typically associated with bloody stools or abdominal mass.
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Related Questions
Correct Answer is C
Explanation
A. A sunken anterior fontanel can indicate severe dehydration in infants due to the loss of fluid volume affecting the soft spots on the baby's head.
B. Bradypnea (slow breathing) is not typically associated with dehydration; rather, tachypnea (rapid breathing) may be present.
C. A weight loss of 13% is indeed indicative of severe dehydration, as this level of weight loss suggests a substantial deficit in fluid volume.
D. A capillary refill of 3 seconds is concerning but may not be the most indicative finding of severe dehydration in infants.
Correct Answer is A
Explanation
A. Understanding that the ostomy is temporary indicates an understanding of the surgical procedure and the need for subsequent surgeries for definitive treatment.
B. Complications may arise during or after surgery; the absence of complications is not guaranteed.
C. Achieving normal bowel movements may require additional interventions beyond the initial surgery for Hirschsprung disease.
D. Follow-up visits are essential for monitoring the child's progress and ensuring proper healing and management of the condition post-surgery.
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