A child is admitted to the hospital and diagnosed with inflammatory bowel disease. The nurse should evaluate the patient for which most likely associated symptoms?
Fever, tachypnea, and tachycardia
Frequent stools, weight loss, and hyperactive bowels
Frequent stools, fever, and tachycardia
Constipation, fever, and weight loss
The Correct Answer is B
IBD, which includes conditions such as Crohn's disease and ulcerative colitis, is characterized by chronic inflammation of the gastrointestinal tract. The symptoms can vary depending on the type and severity of the disease, but common symptoms in children with IBD include:
- Children with IBD often experience increased frequency of bowel movements, which may be loose or watery. This is often accompanied by urgency and a sense of incomplete evacuation.
- Chronic inflammation in the gastrointestinal tract can interfere with nutrient absorption, leading to poor appetite, decreased intake, and subsequent weight loss. In severe cases, malnutrition may occur.
- Inflammatory processes in the intestines can lead to increased motility and peristalsis, resulting in hyperactive bowel sounds.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Nitroprusside is a potent vasodilator medication used to rapidly reduce blood pressure in hypertensive emergencies. Its primary action is to dilate blood vessels, leading to a decrease in systemic vascular resistance and subsequent reduction in blood pressure.
Monitoring the client's blood pressure is crucial during the administration of nitroprusside to ensure that the medication is achieving the desired effect and that blood pressure is being appropriately controlled. The nurse will assess blood pressure frequently to adjust the infusion rate and titrate the medication to achieve the desired therapeutic effect while avoiding hypotension or other adverse effects.
Correct Answer is A
Explanation
Unequal scapula and hip heights can be indicative of spinal curvature, a key characteristic of scoliosis. As the spine curves, it can cause the shoulders and hips to appear uneven when observed from behind. This asymmetry is an important visual clue that warrants further assessment and evaluation.
Equal rib prominence and tight-fitting clothes, equal waist and shoulder angles, and symmetric chest expansion with deep breaths are not specific signs of scoliosis. These signs may not be affected by spinal curvature and are not typically used in the screening process for scoliosis.
It's important to note that scoliosis screenings may involve more comprehensive assessments, including the use of scoliometers or other measuring tools to evaluate the degree of spinal curvature. Any concerns or suspicions of scoliosis should be reported to appropriate healthcare professionals for further evaluation and management.
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