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. Administering opioids for pain may be necessary, but they should be given cautiously due to the risk of respiratory depression and should be prescribed by the healthcare provider.
B. Applying bilateral wrist restraints is not typically indicated post-cleft palate repair and may restrict the child unnecessarily.
C. Implementing a soft diet is appropriate post-cleft palate repair to minimize trauma to the surgical site and promote healing.
D. Offering fluids through a straw may increase the risk of negative pressure in the oral cavity and disrupt the surgical repair; fluids should be offered using appropriate methods recommended by the healthcare provider.
Correct Answer is C
Explanation
A. Barley and wheat contain gluten, which should be avoided in celiac disease to prevent adverse reactions.
B. Wheat contains gluten, which should be avoided in celiac disease to prevent adverse reactions.
C. Rice is a safe option for individuals with celiac disease as it does not contain gluten.
D. Rye contains gluten, which should be avoided in celiac disease to prevent adverse reactions.
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