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. Pediatric fluid replacement guidelines differ from those for adults due to differences in physiology and fluid requirements.
B. Providing excessive fluid replacement can lead to complications such as fluid overload; fluid replacement should be tailored to the individual child's needs.
C. Adjusting fluid replacement based on weight and age is essential in pediatric patients to ensure appropriate hydration and electrolyte balance.
D. Ignoring fluid replacement can lead to dehydration, especially in cases of illness or surgical procedures, where fluid needs may be increased.
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. It's important for the parent to understand potential complications associated with the surgery and the condition.
C. Normal bowel movements may not be immediately achievable after surgery for Hirschsprung disease and may require further intervention.
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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