A nurse is caring for a 6-week-old infant diagnosed with pyloric stenosis. Which of the following clinical manifestations should the nurse expect?

Distended neck veins

Red currant jelly stools

Weight loss

Occasional vomiting

Answer and Explanation

The Correct Answer is C

A.   Distended neck veins are typically seen in cases of heart failure or other circulatory issues, not pyloric stenosis.
B.   Red currant jelly stools are associated with intussusception, not pyloric stenosis.
C.   Weight loss is a common manifestation of pyloric stenosis due to vomiting and poor nutrient intake. This occurs as the narrowing of the pylorus obstructs the passage of food.
D.   Occasional vomiting could be a sign of pyloric stenosis, but the hallmark feature is projectile vomiting, which occurs more frequently and is often more forceful.

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Correct Answer is D

Explanation

A. While written communication may be helpful for some children, it is not the primary recommendation for those with hearing loss. Other methods, such as sign language, are more effective for communication.
B. Avoiding social interaction is not recommended. Social interaction is important for the child's development and emotional well-being, and it should be encouraged.
C. While avoiding contact with sick individuals is generally good advice to prevent infections, it does not directly address communication strategies for children with hearing loss.
D. Interacting using American Sign Language is highly beneficial for children with hearing loss. It provides an effective method for communication, especially when auditory devices like hearing aids or cochlear implants are not sufficient on their own. This choice fosters inclusion and supports language development.

A. Restrain the toddler to prevent movement during the injection. B. Gather all necessary supplies for the injection. C. Explain the procedure to the toddler using simple language. D. Assess the toddler's vital signs prior to the injection.

Correct Answer is C

Explanation

A. While some form of restraint may be necessary, explaining the procedure first is important for reducing anxiety and helping the toddler understand what is going to happen.
B. Gathering supplies is essential but should come after preparing the child and ensuring they are mentally ready.
C. Explaining the procedure to the toddler helps ease anxiety and ensures they are informed, even at a young age.
D. Routine vital sign assessment is not necessary for a simple IM injection unless the child has a specific medical condition.

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A nurse is caring for a 6-week-old infant diagnosed with pyloric stenosis. Which of the following clinical manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse educator is instructing new nurses on education for pediatric patients with hearing loss. The nurse stresses that parents need to continue to follow up with specialists and be educated about hearing aids and cochlear implants. What other advice could the nurse add to the education?

Correct Answer is D

Explanation

A nurse is preparing to administer an intramuscular (IM) injection to a toddler. Which intervention should the nurse implement first?

Correct Answer is C

Explanation

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