The nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews the child's record and expects to note which sign of this disorder documented?

Ribbon-like stools

Profuse projectile vomiting

Bright red blood and mucus in the stools

Watery diarrhea

Answer and Explanation

The Correct Answer is C

A. Ribbon-like stools
Explanation: Ribbon-like or pencil-thin stools are associated with conditions affecting the rectum, such as colorectal cancer, but they are not a typical sign of intussusception.
B. Profuse projectile vomiting
Explanation: Profuse projectile vomiting is not a typical sign of intussusception. Vomiting may occur, but it is not the primary characteristic feature.
C. Bright red blood and mucus in the stools
Explanation:
Intussusception is a condition in which one part of the intestine slides into another, causing a blockage. One of the classic signs of intussusception is the presence of "currant jelly" stools, which are characterized by a mixture of bright red blood and mucus in the stools. This occurs due to the compression of the blood vessels in the intestine, leading to bleeding and mucosal discharge.
D. Watery diarrhea
Explanation: Watery diarrhea is not a typical sign of intussusception. The condition is more commonly associated with abdominal pain, vomiting, and the characteristic "currant jelly" stools.

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Correct Answer is B

Explanation

A. Rye toast
Explanation: Rye contains gluten, so it is not suitable for individuals with celiac disease. It should be avoided in a gluten-free diet.
B. Rice
Explanation:
Celiac disease is a condition characterized by an immune reaction to gluten, a protein found in wheat, barley, and rye. Individuals with celiac disease must follow a gluten-free diet to manage the condition. Rice is a gluten-free grain and is safe for individuals with celiac disease to include in their diet.
C. Wheat bread
Explanation: Wheat contains gluten, and products made from wheat, such as wheat bread, should be avoided in a gluten-free diet for individuals with celiac disease.
D. Oatmeal
Explanation: Oats themselves are gluten-free, but cross-contamination can occur during processing. Some individuals with celiac disease can tolerate pure, uncontaminated oats, but it's essential to ensure that the oats are labeled gluten-free. Regular oats may be cross-contaminated with gluten-containing grains during processing.

A. That lethargy and vomiting are normal with mumps B. To continue to monitor the child C. To bring the child to the clinic to be seen by the pediatrician D. That there is nothing to be concerned about as long as there is no fever

Correct Answer is C

Explanation

A. That lethargy and vomiting are normal with mumps:
Incorrect: Lethargy and vomiting are not typical symptoms of mumps. These symptoms could indicate a separate issue that requires medical attention.
B. To continue to monitor the child:
Incorrect: Given the reported symptoms of lethargy and vomiting, a passive approach of continuing to monitor may delay necessary medical intervention. The child should be assessed promptly.
C. To bring the child to the clinic to be seen by the pediatrician:
Correct Answer: Lethargy and vomiting are not typical symptoms of uncomplicated mumps. These symptoms could be indicative of other issues, and it's important for the pediatrician to evaluate the child to determine the cause and provide appropriate care.
D. That there is nothing to be concerned about as long as there is no fever:
Incorrect: While fever is a common symptom of mumps, the absence of fever does not negate the need for further evaluation when there are concerning symptoms like lethargy and vomiting. The child should be seen by a healthcare provider to determine the cause of these symptoms.

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The nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews the child's record and expects to note which sign of this disorder documented?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides home care instructions to the parents of a child with celiac disease. The nurse would teach the parents to include which food item in the child's diet?

Correct Answer is B

Explanation

The parent of a child with mumps calls the health care clinic to tell the nurse that the child has been lethargic and vomiting. What instruction would the nurse give to the parent?

Correct Answer is C

Explanation

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