A nurse is caring for a male infant who has a palpable, sausage-shaped 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?
Intussusception
Tracheoesophageal fistula
Hypertrophic pyloric stenosis
Inguinal hernia
The Correct Answer is A
A. Intussusception typically presents with a palpable, sausage-shaped mass in the abdomen and stools mixed with blood and mucus.
B. Tracheoesophageal fistula presents with respiratory distress and may involve aspiration, but it does not typically present with abdominal mass or bloody stools.
C. Hypertrophic pyloric stenosis presents with projectile vomiting and may cause dehydration but does not typically present with bloody stools.
D. Inguinal hernia presents with a bulge in the groin area but is not typically associated with bloody stools or abdominal mass.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While burping the baby more frequently might help with gas, projectile vomiting after feeding could indicate a more serious issue that requires immediate attention.
B. Giving an oral rehydration solution is not appropriate for a 2-month-old infant experiencing projectile vomiting after feeding; medical evaluation is needed.
C. Projectile vomiting in a young infant could indicate a serious problem such as pyloric stenosis, which requires immediate medical evaluation.
D. Switching formula may not address the underlying cause of projectile vomiting and could delay appropriate treatment; medical evaluation is needed.
Correct Answer is C
Explanation
A. A regular diet with no added salt may exacerbate fluid retention and hypertension in acute glomerulonephritis.
B. Low-protein, low-potassium diet may be indicated in chronic kidney disease but is not typically recommended in acute glomerulonephritis.
C. Low-sodium, fluid-restricted diet helps manage edema and fluid overload commonly seen in acute glomerulonephritis.
D. Low-carbohydrate, low-protein diet is not typically indicated in acute glomerulonephritis.
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