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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The primary concern when it comes to a synthetic cast is to keep it dry during bathing or showering. Moisture can weaken the cast material and lead to skin irritation or infection. Therefore, covering the cast with plastic and waterproof tape helps to protect it from getting wet.
Applying a heating pad to the cast if the child has swelling in the affected extremity in (Option A) is incorrect because applying a heating pad to the cast can increase the risk of burns and is not recommended. If the child has swelling in the affected extremity, it is important to elevate the limb and follow any specific instructions provided by the healthcare provider.
Splitting the cast if the child complains of numbness or pain in (Option C) is also incorrect. Splitting the cast, or attempting to modify or adjust it, should not be done without medical supervision. If the child complains of numbness or pain, it is important to notify the healthcare provider for further evaluation and appropriate management.
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Wrapping the outer surface of the cast with an Ace bandage in (Option D) is incorrect as well. Wrapping the outer surface of the cast with an Ace bandage or any additional material is not recommended unless specifically instructed by the healthcare provider. It can affect the fit of the cast, alter the healing process, and potentially cause complications |
Correct Answer is A
Explanation
The assessment finding that the nurse should expect in an infant with Hirschsprung disease is option A, constipation with the passage of foul-smelling, ribbon-like stools. Hirschsprung disease is a congenital condition characterized by the absence of ganglion cells in the distal part of the colon, leading to functional obstruction. The affected segment of the colon lacks the normal peristaltic movements, resulting in an accumulation of faecal matter. The stools passed by infants with Hirschsprung disease are often constipated, and the narrow, ribbon- like appearance is a result of the narrowed segment of the colon.
diarrhea (option B) is incorrect because it, is not typically associated with Hirschsprung disease. Instead, the condition presents with constipation due to the obstructed bowel.
foul-smelling, fatty stools in (option C) is incorrect because it, is not characteristic of Hirschsprung disease. This finding may be associated with malabsorption disorders such as cystic fibrosis or celiac disease, but not specifically with Hirschsprung disease.
"currant jelly" stools in (option D) is incorrect because it, is a term commonly used to describe the stools seen in intussusception, which is a different condition involving the telescoping of one segment of the bowel into another. It is not an expected finding in Hirschsprung disease.
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