A nurse is caring for a male infant who has a palpable mass in the upper right quadrant and stools mixed with blood and mucus. The nurse should recognize that which of the following diagnoses is associated with these findings?
Hypertrophic pyloric stenosis
Intussusception
Inguinal hernia
Tracheoesophageal fistula
The Correct Answer is B
Choice A reason: Hypertrophic pyloric stenosis is a condition in which the pyloric sphincter becomes thickened and obstructs the passage of food from the stomach to the duodenum. It causes projectile vomiting, dehydration, and weight loss, but not a palpable mass or bloody stools.
Choice B reason: Intussusception is a condition in which a segment of the intestine telescopes into another segment, causing obstruction, inflammation, and ischemia. It causes a palpable mass in the upper right quadrant, abdominal pain, and stools mixed with blood and mucus, also known as "currant jelly" stools.
Choice C reason: Inguinal hernia is a condition in which a part of the intestine protrudes through a weak spot in the abdominal wall near the inguinal canal. It causes a bulge in the groin area, especially when the infant cries or strains. It does not cause a mass in the upper right quadrant or bloody stools.
Choice D reason: Tracheoesophageal fistula is a congenital anomaly in which there is an abnormal connection between the trachea and the esophagus. It causes excessive drooling, choking, coughing, and cyanosis during feeding, but not a palpable mass or bloody stools.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Barley contains gluten, a protein that triggers an immune reaction in people with celiac disease. This reaction damages the lining of the small intestine and prevents it from absorbing nutrients. Therefore, barley should be avoided by people with celiac disease.
Choice B reason: Wheat also contains gluten and should be avoided by people with celiac disease for the same reason as barley.
Choice C reason: Rice is a gluten-free grain and can be safely consumed by people with celiac disease. Rice is a good source of carbohydrates, fiber, and vitamins.
Choice D reason: Potatoes are also gluten-free and can be safely consumed by people with celiac disease. Potatoes are a good source of potassium, vitamin C, and starch.
Correct Answer is B
Explanation
Choice A reason: Hypertrophic pyloric stenosis is a condition in which the pyloric sphincter becomes thickened and obstructs the passage of food from the stomach to the duodenum. It causes projectile vomiting, dehydration, and weight loss, but not a palpable mass or bloody stools.
Choice B reason: Intussusception is a condition in which a segment of the intestine telescopes into another segment, causing obstruction, inflammation, and ischemia. It causes a palpable mass in the upper right quadrant, abdominal pain, and stools mixed with blood and mucus, also known as "currant jelly" stools.
Choice C reason: Inguinal hernia is a condition in which a part of the intestine protrudes through a weak spot in the abdominal wall near the inguinal canal. It causes a bulge in the groin area, especially when the infant cries or strains. It does not cause a mass in the upper right quadrant or bloody stools.
Choice D reason: Tracheoesophageal fistula is a congenital anomaly in which there is an abnormal connection between the trachea and the esophagus. It causes excessive drooling, choking, coughing, and cyanosis during feeding, but not a palpable mass or bloody stools.
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