A nurse is collecting data from a 4-month-old infant who has intussusception. Which of the following findings should the nurse expect?
Bloody stools
Periorbital edema
Polyuria
Ascites
The Correct Answer is A
A. Bloody stools. This is correct. A classic sign of intussusception in infants is the presence of "currant jelly" stools, which are stools that are bloody and mucous. This results from the ischemia and inflammation caused by the telescoping of the intestine.
B. Periorbital edema. Periorbital edema is not a typical finding of intussusception. It is more commonly seen with conditions such as nephrotic syndrome or allergic reactions.
C. Polyuria. Polyuria is not associated with intussusception. This condition typically presents with symptoms such as vomiting, abdominal pain, and bloody stools, rather than abnormal urine output.
D. Ascites. Ascites, or abdominal fluid accumulation, is not a characteristic finding of intussusception. While abdominal distension may occur due to the obstruction, ascites would be more suggestive of a different condition, such as liver disease or heart failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["30"]
Explanation
- Calculate the amount of ibuprofen needed for one dose:
- Prescription: 200 mg every 8 hours
- Available concentration: 100 mg/5 mL
- To find the volume for one dose: (200 mg) / (100 mg/5 mL) = 10 mL
- Determine the number of doses in 24 hours:
- 24 hours / 8 hours per dose = 3 doses
- Calculate the total volume for 24 hours:
- 10 mL per dose 3 doses = 30 mL
Correct Answer is ["B","C","D","E"]
Explanation
A. Polyuria is incorrect. Celiac disease primarily affects the gastrointestinal system, leading to malabsorption and diarrhea rather than excessive urination (polyuria).
B. Abdominal distension is correct. Children with celiac disease often experience bloating and abdominal distension due to inflammation and malabsorption in the intestines.
C. Large pale-colored stools is correct. Malabsorption of fats in celiac disease can cause steatorrhea, leading to bulky, foul-smelling, pale-colored stools.
D. Irritability is correct. Children with celiac disease may become irritable due to discomfort, nutrient deficiencies, and the impact of the disease on overall well-being.
E. Anorexia is correct. A lack of appetite (anorexiA. is common in celiac disease due to gastrointestinal discomfort and malabsorption.
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