A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?

Vomiting

Hypertension

Rounded abdomen

Tachypnea

Answer and Explanation

The Correct Answer is C

Correct Answer: C Rationale:
A.   Vomiting may occur with various gastrointestinal conditions but is not a specific finding associated with necrotizing enterocolitis. Bloody stools are more characteristic of this condition.
B.   Hypertension is not typically associated with necrotizing enterocolitis. Instead, infants may present with hypotension due to sepsis or shock.
C.   A rounded abdomen is a common finding in necrotizing enterocolitis due to abdominal distention from gas and fluid accumulation in the intestines.
D.   Tachypnea may occur as a result of sepsis or respiratory distress but is not specific to necrotizing enterocolitis.

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Correct Answer is D

Explanation

A) Abrasions on the knees could result from normal childhood activities and may not indicate physical abuse.
B) Front deciduous teeth missing could be due to normal tooth loss.
C) Weight in the 45th percentile is within a normal range and does not necessarily indicate physical abuse.
D) Bruising around the wrists is concerning for physical abuse, especially in a pattern consistent with restraining or gripping.

A. Assess both eyes together first, then each eye separately. B. Position the child 4.6 meters (15 feet) from the chart. C. Test the child without glasses before testing with glasses. D. Use a tumbling E chart for the assessment.

Correct Answer is D

Explanation

A. Visual acuity should be assessed for each eye separately first, then both eyes together to detect any differences between the eyes.
B. The nurse should position the child 3 meters (10 feet) from the chart and ask the child to point in the direction of the open end of each letter.
C. If the child wears glasses, they should be tested with and without their glasses to assess visual acuity accurately.
D. A tumbling E chart, where the child identifies the direction of the E (up, down, left, or right), is commonly used for assessing visual acuity in young children who may not yet know letters.

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A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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