What is the cardinal sign a nurse would expect to observe with intussusception?

Red, currant, jelly-like stools

Absent bowel sounds

Hematemesis

Bilious emesis

Answer and Explanation

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.

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Correct Answer is B

Explanation

a) Health assessment: Refers to the evaluation of the child's health status, including physical examinations and assessments.

b) Health promotion: Involves educating and encouraging practices that enhance overall health, like explaining the importance of immunizations.

c) Health maintenance: Focuses on ensuring continued health through preventive measures and routine care.

d) Health screening: Involves checking for diseases or conditions even when symptoms are not apparent, typically via tests or exams.

A. Constant parental supervision is needed to avoid overexertion B. The child needs opportunities to play with others C. The parents can have the child make video calls with friends instead of playdates D. The child needs to understand that peers’ activities are too strenuous

Correct Answer is B

Explanation

a) Constant parental supervision is needed to avoid overexertion: While supervision is important, restricting all activities might limit the child's development.

b) The child needs opportunities to play with others: Encouraging social interaction and play with peers is crucial for the child's social and emotional development.

c) The parents can have the child make video calls with friends instead of playdates: Video calls can supplement but should not entirely replace physical play and interaction.

d) The child needs to understand that peers’ activities are too strenuous: This response might unnecessarily limit the child's participation in normal activities without considering their abilities and limitations.

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What is the cardinal sign a nurse would expect to observe with intussusception?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In the pediatric well-child clinical, the nurse explains the reason for an immunization series to the child’s mother. This action represents which term?

Correct Answer is B

Explanation

The parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. The nurse’s reply should include which of the following?

Correct Answer is B

Explanation

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