What is the treatment of choice for a child with intussusception?

A barium enema

IV fluids until the spasms subside

Immediate surgery

Gastric lavage

Answer and Explanation

The Correct Answer is A

A. A barium enema: A barium enema is both diagnostic and therapeutic for intussusception in many cases. It helps to diagnose the condition by visualizing the telescoped intestine and can also often reduce the intussusception by hydrostatic pressure.
B. IV fluids until the spasms subside: IV fluids are important for managing dehydration and maintaining hydration but do not directly treat intussusception.
C. Immediate surgery: Surgery may be necessary if non-operative reduction methods fail or if there are complications like bowel necrosis or perforation. However, it is not the first-line treatment choice.
D. Gastric lavage: Gastric lavage (stomach pumping) is not indicated for the treatment of intussusception.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Percussing ankle and knee reflexes. Safe and non-invasive, and does not risk disturbing the tumor.
B. Assessing for bowel sounds. Routine part of assessment and does not involve manipulating the tumor.
C. Performing range-of-motion exercises on lower extremities. Safe and non-invasive, unrelated to the abdominal tumor.
D. Palpating the abdomen. Palpating the abdomen in a child with Wilms' tumor is avoided to prevent the risk of tumor rupture and subsequent metastasis.

Correct Answer is ["3.1"]

Explanation

First, convert the child's weight from pounds to kilograms:

22lb÷2.2=10kg

Calculate the dose:

10kg×10mg/kg=100mg

Next, calculate how many mL of acetaminophen liquid (160 mg/5 mL) is needed for 100 mg:

100mg÷160mg/5ml= 100 ×5/160= 3.125ml

Rounded to the nearest tenth, administer 3.1 mL (since the medication is typically measured in tenths).

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What is the treatment of choice for a child with intussusception?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which physical assessment technique will the nurse omit when caring for a 2-year-old child diagnosed with Wilms' tumor?

Correct Answer is D

Explanation

Correct Answer is ["3.1"]

Explanation

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