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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is B
Explanation
A. Mummy restraints may restrict movement too much and could be uncomfortable for the infant postoperatively.
B. Restraints for a young infant should be the least restrictive option to prevent self- harm while allowing some movement. Elbow restraints are more appropriate for this age group.
C. Jacket restraints are also not suitable as they do not effectively prevent the infant from reaching their face.
D. Wrist restraints may not be sufficient to prevent the infant from accessing the surgical site and may allow unintended movement.
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