The nurse notes on assessment that a 1-year-old child underweight with abdominal distention, thin legs and arms, and foul-smelling stools. The nurse suspects failure to thrive is associated with
Intussusception
imperforate anus
celiac disease
table bowel syndrome
The Correct Answer is C
Celiac disease is an autoimmune disorder triggered by the ingestion of gluten, a protein found in wheat, barley, and rye. It causes damage to the lining of the small intestine, leading to malabsorption of nutrients. The characteristic symptoms of celiac disease include abdominal distention, underweight or failure to thrive, thin arms and legs, and foul-smelling stools.
intussusception in (option A) is incorrect because it, refers to a condition where a portion of the intestine telescopes into an adjacent section, causing an obstruction. While intussusception can present with symptoms such as abdominal pain, vomiting, and currant jelly-like stools, it is not typically associated with failure to thrive.
imperforate anus, in (option B) is incorrect because it is a congenital condition in which the opening of the anus is blocked or absent. It can cause difficulties with passing stools, but it is not typically associated with failure to thrive or the specific assessment findings described.
irritable bowel syndrome (IBS) in (option D) is incorrect because it, is a chronic disorder of the gastrointestinal tract characterized by recurrent abdominal pain, changes in bowel habits, and bloating. While IBS can cause gastrointestinal symptoms, it is not typically associated with failure to thrive, underweight, or the specific assessment findings mentioned.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
Compartment syndrome is a condition that can occur following an injury, such as a fracture, where there is increased pressure within a closed space (compartment) in the body. In the case of a forearm fracture, swelling and increased pressure within the compartment can lead to compression of the nerves and blood vessels, resulting in symptoms such as pain, numbness, and decreased function of the affected muscles.
The inability to extend the fingers suggests impairment of the extensor muscles, which are innervated by the radial nerve. If the radial nerve is compressed or injured due to compartment syndrome, it can result in a loss of function in the muscles it innervates, leading to the inability to extend the fingers.
damage to the epiphyseal plate in (option A) is incorrect because it, is not related to the inability to extend the fingers. The epiphyseal plate is the growth plate in long bones, and damage to it would typically affect bone growth rather than finger extension.
, stating that it is normal following this type of injury in (option B), is incorrect. Inability to extend the fingers is not a normal or expected finding after a forearm fracture. It suggests a potential complication or underlying issue.
fat embolism in (option D) is incorrect because it, is unlikely to cause an inability to extend the fingers. Fat embolism occurs when fat globules from a broken bone enter the bloodstream and can lead to respiratory and neurological symptoms, but it would not specifically cause an isolated loss of finger extension.
Correct Answer is D
Explanation
Tanner staging is a method used to assess and describe the development of secondary sexcharacteristics during puberty. It is primarily focused on the physical changes that occur asindividuals transition from childhood to adulthood. The Tanner scale consists of differentstages(ItoV)that describethedevelopmentofspecificsecondarysexcharacteristicssuchasbreastdevelopment, pubichairgrowth,genital development,and facialhair growth.
Growthhormonesecretionin(optionA)isincorrectbecauseWhilegrowthhormonedoesplay a role in the overall growth and development of individuals during puberty, Tannerstagingdoes not specificallymeasureor assessgrowth hormone secretion.
Hormone levels in (option B) is incorrect because While hormone levels, including sexhormonessuchas estrogenandtestosterone, doplayasignificantrolein thedevelopmentofsecondary sex characteristics, Tanner staging itself does not involve measuring or assessinghormone levels. Hormone levels can be assessed through laboratory testing, but this is aseparateprocess from Tanner staging
Hyperthyroidism in (option C) is incorrect because Hyperthyroidism, on the other hand, is amedical condition characterized by an overactive thyroid gland that produces an excessivenumberofthyroidhormones.Itisnotdirectlyrelatedtothedevelopmentofsecondarysexcharacteristics. Diagnosing hyperthyroidism typically involves assessing symptoms,conductingphysicalexaminations,andperformingspecificbloodteststomeasurethyroidhormone levelsandevaluatethyroidfunction.
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