What is the cardinal sign a nurse would expect to observe with intussusception?
Red, currant, jelly-like stools
Absent bowel sounds
Hematemesis
Bilious emesis
The Correct Answer is A
a) Red, currant, jelly-like stools: This is a classic indication of intussusception due to the presence of blood and mucus in the stool, a result of intestinal obstruction and ischemia.
b) Absent bowel sounds: Can occur but are not specific to intussusception.
c) Hematemesis: Vomiting blood is not a characteristic sign of intussusception.
d) Bilious emesis: While indicative of gastrointestinal issues, it's not the cardinal sign of intussusception.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a) 90 mL’s: This amount is larger than the typical stomach capacity of a newborn at the end of the first month.
b) 300 mL’s: Exceeds the normal stomach capacity of a newborn at the end of the first month.
c) 30 mL’s: By the end of the first month, a newborn's stomach capacity is around 30 mL's, gradually increasing over time.
d) 150 mL’s: This amount is larger than the normal stomach capacity of a newborn at the end of the first month.
Correct Answer is D
Explanation
a) Hyperthermia: Hyponatremia can disrupt temperature regulation, but it doesn't typically cause hyperthermia directly.
b) Respiratory distress: While severe cases might cause neurological issues affecting breathing, it's not the primary concern in hyponatremia.
c) Bradycardia: Though possible due to neurological complications, it's not the primary issue to anticipate in hyponatremia.
d) Seizure: Hyponatremia significantly affects brain function due to electrolyte imbalance, predisposing the child to seizures.
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