A nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis?
Projectile vomiting after feedings
Absent bowel sounds
Increased sodium level
Golf ball-size mass over the left quadrant
The Correct Answer is A
A. Projectile vomiting after feedings: Projectile vomiting after feedings, especially occurring a short time after feeding, is a classic sign of pyloric stenosis due to obstruction at the pylorus.
B. Absent bowel sounds: Absent bowel sounds may occur in more advanced cases of bowel obstruction but are not specific to pyloric stenosis.
C. Increased sodium level: Increased sodium level is not typically associated with pyloric stenosis.
D. Golf ball-size mass over the left quadrant: A palpable mass in the left quadrant is not a typical finding in pyloric stenosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3.1"]
Explanation
First, convert the child's weight from pounds to kilograms:
22lb÷2.2=10kg
Calculate the dose:
10kg×10mg/kg=100mg
Next, calculate how many mL of acetaminophen liquid (160 mg/5 mL) is needed for 100 mg:
100mg÷160mg/5ml= 100 ×5/160= 3.125ml
Rounded to the nearest tenth, administer 3.1 mL (since the medication is typically measured in tenths).
Correct Answer is B
Explanation
A. "When patches are present, it indicates that your infant has a systemic infection." Seborrheic dermatitis is a benign, non-infectious condition and does not indicate systemic infection.
B. "You can use petrolatum to help soften and remove patches from your infant's scalp. Petrolatum can help soften and loosen scales in seborrheic dermatitis, making them easier to remove gently. This can help manage the condition effectively.
C. "You should avoid washing your infant's hair while patches are present on the scalp." Gentle washing with a mild shampoo can help manage seborrheic dermatitis. Avoiding washing altogether is not necessary unless advised by a healthcare provider.
D. "When patches are present, you should keep your infant away from others." Seborrheic dermatitis is not contagious, so there is no need to keep the infant away from others.
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