The nurse is reviewing the record of a pediatric client diagnosed with pyloric stenosis. Which assessment finding would the nurse expect to find in the electronic health record?

Projectile vomiting

Large amounts of bilious emesis

Watery diarrhea

Steatorrhea

Answer and Explanation

The Correct Answer is A

A. Projectile vomiting is a classic sign of pyloric stenosis, where the thickened pylorus muscle obstructs the passage of food from the stomach to the small intestine, causing forceful vomiting.

B. Large amounts of bilious emesis would suggest an obstruction beyond the pylorus, which is not characteristic of pyloric stenosis.

C. Watery diarrhea is not associated with pyloric stenosis, which typically causes dehydration and constipation.

D. Steatorrhea, or fatty stools, is not a feature of pyloric stenosis but rather is associated with malabsorption syndromes.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

High dose intravenous immunoglobulins: Kawasaki disease is characterized by a prolonged fever, rash, and systemic inflammation. The first-line treatment for Kawasaki disease includes high-dose intravenous immunoglobulins (IVIG), which help reduce inflammation and prevent coronary artery damage.

Aspirin is used in the management of Kawasaki disease to address inflammation and reduce fever. It is also used to prevent coronary artery complications, as it has antiplatelet effects that help mitigate the risk of thrombus

A. "The varicella vaccine should be withheld if my child is symptomatic of their illness." B. "The vaccination schedule does not apply to my child." C. "The pneumococcal (PCV) vaccine should be delayed until my child's first birthday." D. "The human papillomavirus (HPV) vaccine is contraindicated for my child."

Correct Answer is A

Explanation

A. The varicella vaccine, which is a live attenuated vaccine, may be withheld if the child is symptomatic of their illness or has a significantly compromised immune system. This is due to the increased risk of severe reactions or complications in immunocompromised individuals.

B. The vaccination schedule is still applicable to children with HIV, but there may be adjustments based on the child’s immunocompetence and specific health status.

C. The pneumococcal vaccine is recommended for children with HIV and is typically administered according to the standard schedule, not delayed until the first birthday.

D. The HPV vaccine is generally recommended for children with HIV, as they are at increased risk for HPV-related complications. It is not contraindicated.

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Explanation

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