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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While strabismus may be treated with interventions such as patching, it is not always immediately concerning in newborns. The nurse should first provide accurate information about normal development.
B. Taking the baby to the nursery may not be necessary unless the child’s condition worsens or there is a
clear concern. A thorough assessment and explanation by the nurse are more appropriate.
C. Strabismus is common in newborns due to the immaturity of eye muscle control and usually resolves as the child develops. This is the most therapeutic response as it provides reassurance based on developmental norms.
D. Calling the primary care provider might be premature unless the nurse identifies a significant concern beyond normal development.
Correct Answer is A
Explanation
A. Children with acute epiglottitis typically experience a high fever, not a lower temperature. A fever is a common sign of infection in this condition.
B. Ceftriaxone is commonly used in the treatment of acute epiglottitis, as it is effective against the bacteria that commonly cause this infection.
C. Difficulty swallowing (dysphagia) is a common symptom of acute epiglottitis due to swelling in the throat.
D. Oxygen therapy may be required to ensure adequate oxygenation in a child with acute epiglottitis due to airway obstruction.
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