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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. "I should not take my regular insulin when I am sick." Regular insulin should not be withheld during illness, as blood glucose levels can increase during times of stress or infection. This statement indicates the child needs further education on managing diabetes during illness.
B. "I will rotate injections sites within my abdominal area." Rotating injection sites within a specific area helps to prevent lipodystrophy and ensures consistent absorption of insulin. This statement shows appropriate understanding.
C. "I will test my blood sugar before meals and at bedtime." Frequent monitoring of blood glucose is essential in managing type 1 diabetes. This statement indicates correct knowledge of monitoring practices.
D. "I should eat a snack before I play soccer." Eating a snack before physical activity helps to prevent hypoglycemia. This statement indicates a proper understanding of diabetes management related to exercise.

A. Dilute the medication with 240 mL (8 oz) of milk. B. Administer the medication at meal time. C. Administer the medication at bedtime. D. Offer the medication through a straw.

Correct Answer is B

Explanation

A. Dilute the medication with 240 mL (8 oz) of milk. Milk can inhibit iron absorption, so it's not recommended to mix iron supplements with milk.
B. Administer the medication at meal time. Iron supplements are best absorbed when taken with food, specifically vitamin C-rich foods to enhance absorption. This instruction promotes optimal therapeutic effect.
C. Administer the medication at bedtime: Timing with meals is more effective than at bedtime.
D. Offer the medication through a straw. The method of administration is less critical than the timing with meals.

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A nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis?

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