A child in compensated shock will show which symptoms?

Somnolence, hypotension, oliguria

Irritability, tachypnea, hypotension

Irritability, capillary refill time > 2 seconds, bradycardia

Irritability, tachycardia, poor peripheral perfusion

Answer and Explanation

The Correct Answer is D

Choice A reason: Somnolence, hypotension, and oliguria are signs of decompensated shock, which occurs when the body's compensatory mechanisms fail to maintain adequate tissue perfusion.

Choice B reason: Irritability, tachypnea, and hypotension are also signs of decompensated shock, as the respiratory rate increases to compensate for the low blood pressure and oxygen delivery.

Choice C reason: Irritability, capillary refill time > 2 seconds, and bradycardia are not typical signs of compensated shock, as the heart rate usually increases to maintain cardiac output and blood pressure.

Choice D reason: Irritability, tachycardia, and poor peripheral perfusion are signs of compensated shock, which occurs when the body tries to maintain adequate tissue perfusion by increasing the heart rate, constricting the peripheral blood vessels, and shunting blood to the vital organs.

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Correct Answer is D

Explanation

Choice A reason: An axillary temperature of 37.3° C is within the normal range for a 10 month old child and does not indicate a complication of intussusception or its treatment.

Choice B reason: Mild abdominal pain is expected after an emergency reduction for intussusception and can be managed with analgesics and comfort measures.

Choice C reason: A BP of 100/54 is normal for a 10 month old child and does not reflect hypovolemia or shock, which are possible complications of intussusception.

Choice D reason: Currant jelly stools are a sign of intestinal bleeding and ischemia, which are serious complications of intussusception that require immediate medical attention. Currant jelly stools are red, mucus-like, and mixed with blood. They indicate that the intussusception has not been resolved or has recurred.

A. Chromosomal mutation is the cause. B. Slow feeding will be necessary for a few months. C. Dietary restrictions will be required throughout childhood. D. Surgery will be necessary.

Correct Answer is D

Explanation

Choice A reason: Chromosomal mutation is not the cause of hypertrophic pyloric stenosis. The exact cause is unknown, but it may be related to genetic, environmental, or hormonal factors.

Choice B reason: Slow feeding will not be sufficient to manage hypertrophic pyloric stenosis. The infant will have persistent vomiting, dehydration, and weight loss due to the obstruction of the pylorus.

Choice C reason: Dietary restrictions will not be effective for hypertrophic pyloric stenosis. The infant will not be able to tolerate any oral intake until the pylorus is surgically corrected.

Choice D reason: Surgery will be necessary to treat hypertrophic pyloric stenosis. The surgery is called pyloromyotomy, which involves cutting the thickened muscle of the pylorus to allow the stomach to empty into the duodenum.

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A child in compensated shock will show which symptoms?

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Naxlex Comprehensive Predictor Exams

Which assessment finding would cause the nurse to notify the MD immediately when assessing a 10 month old child who had an emergency reduction for intussusception 10 hours previously?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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