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 C
Explanation
A. Skin integrity can be affected by various factors and may not solely indicate fluid loss.
B. Blood pressure may be affected by factors other than fluid loss, especially in infants.
C. Body weight is the most reliable indicator of fluid loss in infants, as changes in weight directly reflect changes in fluid status.
D. Respiratory rate may increase due to fever or other factors and may not solely indicate fluid loss.
Correct Answer is B
Explanation
A. Nausea and vomiting can occur in anaphylactic shock but are not the most indicative symptoms.
B. Wheezing and difficulty breathing are hallmark signs of anaphylactic shock due to airway constriction and bronchoconstriction.
C. Fever and chills are not typically associated with anaphylactic shock.
D. Hives and itching can occur in anaphylactic shock but are not the most indicative symptoms.
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