A nurse is assessing an infant who has intussusception.
Which of the following findings should the nurse expect?
Sausage-shaped abdominal mass.
Increased urinary output.
Constipation.
Board-like abdomen.
The Correct Answer is A
Choice A rationale:
A sausage-shaped abdominal mass is a classic sign of intussusception, a condition where one segment of the intestine telescopes into another, causing obstruction. This is a medical emergency that requires prompt intervention.
Choice B rationale:
Increased urinary output is not a characteristic finding of intussusception. Instead, the child may present with signs of dehydration due to vomiting, diarrhea, and decreased oral intake caused by the obstruction.
Choice C rationale:
Constipation is a symptom that can be associated with various gastrointestinal disorders but is not specific to intussusception. In intussusception, the child typically experiences severe abdominal pain, vomiting, and the classic sausage-shaped abdominal mass.
Choice D rationale:
A board-like abdomen can occur in conditions such as peritonitis, but it is not a typical finding in intussusception. The presence of a sausage-shaped abdominal mass is the hallmark sign of intussusception.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Bradycardia, or a slow heart rate, is a manifestation of digoxin toxicity. Digoxin, a medication commonly prescribed for heart conditions, can cause toxic effects when its levels become too high in the body. Bradycardia is a result of the drug's action on the heart's electrical conduction system and indicates toxicity.
Choice B rationale:
Diaphoresis, or excessive sweating, is not a specific manifestation of digoxin toxicity. While sweating can occur due to various reasons, it is not a characteristic sign of digoxin toxicity.
Choice C rationale:
Jaundice, or yellowing of the skin and eyes, is not a typical manifestation of digoxin toxicity. Jaundice is more commonly associated with liver or bile duct disorders.
Choice D rationale:
Polyuria, or excessive urination, is not a specific sign of digoxin toxicity. Digoxin toxicity primarily affects the heart and its electrical conduction system, leading to symptoms like bradycardia.
Correct Answer is ["A","B","D"]
Explanation
D.
Choice A rationale:
Fever is a common sign of acute otitis media, indicating an infection. Elevated body temperature is a natural response to infection as the body tries to fight off the invading pathogens.
Choice B rationale:
Crying is a common symptom in infants with acute otitis media due to ear pain and discomfort caused by the infection. It is a way for the infant to express distress.
Choice C rationale:
Enlarged subclavicular lymph node is not a typical finding in acute otitis media. Enlarged lymph nodes can indicate an immune response but are not specific to this condition.
Choice D rationale:
Restlessness can be a symptom of acute otitis media. Infants may become irritable and have difficulty sleeping due to ear pain and discomfort.
Choice E rationale:
Increased appetite is not a typical finding in acute otitis media. Illnesses often cause a decreased appetite rather than an increased one.
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