What symptoms should a nurse expect in a 6-week-old infant admitted for evaluation of suspected pyloric stenosis?
Projectile vomiting.
Effortless regurgitation.
Metabolic acidosis.
Distended abdomen.
The Correct Answer is A
Choice A rationale
Projectile vomiting is a common symptom in infants with pyloric stenosis. This is due to the narrowing of the pylorus, the muscular valve at the bottom of the stomach, which prevents breast milk or formula from passing through to the small intestine.
Choice B rationale
Effortless regurgitation is not typically associated with pyloric stenosis. The hallmark symptom of pyloric stenosis is projectile vomiting.
Choice C rationale
Metabolic acidosis is not a typical symptom of pyloric stenosis. The hallmark symptom of pyloric stenosis is projectile vomiting.
Choice D rationale
While a distended abdomen can occur in some cases of pyloric stenosis, it is not the most common symptom. The hallmark symptom of pyloric stenosis is projectile vomiting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Hypotension, or low blood pressure, is not typically associated with nephrotic syndrome. In fact, some patients with nephrotic syndrome may experience high blood pressure.
Choice B rationale
Generalized edema, or swelling, is a common characteristic of nephrotic syndrome. It occurs due to the loss of proteins in the urine, which leads to a decrease in the amount of protein in the blood. This decrease in blood protein levels causes fluid to move from the blood vessels into the tissues, leading to swelling.
Choice C rationale
Increased urinary output is not typically associated with nephrotic syndrome. In fact, some patients may experience decreased urine output.
Choice D rationale
Bright red blood in the urine is not a typical symptom of nephrotic syndrome. Hematuria, or blood in the urine, when present in nephrotic syndrome, is usually microscopic and not visible to the naked eye.
Correct Answer is A
Explanation
Choice A rationale
Assessing fluid balance is the priority action when caring for a child with severe diarrhea. Diarrhea can lead to significant fluid and electrolyte loss, which can result in dehydration. Early recognition and treatment of dehydration are crucial to prevent further complications.
Choice B rationale
While maintaining fluid therapy is an important part of managing severe diarrhea, the first step should be to assess the child’s fluid balance.
Choice C rationale
Rehydration is a key part of the treatment for severe diarrhea, but it should be done after assessing the child’s fluid balance.
Choice D rationale
Introducing a regular diet is usually done after the acute phase of diarrhea has resolved and the child’s fluid balance has been restored.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today