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 B

Explanation

A. Preparing for a change in all routines may cause unnecessary anxiety for the child. Changes should be introduced gradually and as needed.
B. Providing a doll allows the child to imitate parental behaviors, fostering a sense of involvement and understanding.
C. Simply informing the child about a new playmate may not adequately prepare them for the arrival of a sibling.
D. Waiting for the newborn to come home before transitioning the older child from a crib to a bed may not be necessary and could delay the transition unnecessarily.

A. Irritability B. Temperature C. Cough findings at 0800 D. Stridor

Correct Answer is A

Explanation

A. This finding is consistent with both acute laryngotracheobronchitis and pneumonia, as both conditions can cause discomfort and distress in children.
B. Fever can be present in both acute laryngotracheobronchitis and pneumonia as they are both infections of the respiratory tract. It is a non-specific symptom that can occur with various respiratory illnesses.
C. This finding is more consistent with acute laryngotracheobronchitis than pneumonia, as acute laryngotracheobronchitis is characterized by a barking, non-productive cough that worsens at night or with agitation, while pneumonia causes a productive cough that may be accompanied by chest pain or difficulty breathing.
D. This finding is more consistent with acute laryngotracheobronchitis than pneumonia, as acute laryngotracheobronchitis causes inflammation and narrowing of the upper airway, leading to a high-pitched sound during inhalation, while pneumonia affects the lower airway and does not usually cause stridor.

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

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