A nurse is caring for a toddler who has intussusception. Which of the following manifestations should the nurse expect?
Drooling
Increased appetite
Mucus in stools
Jaundice
The Correct Answer is C
A. Drooling - Drooling is not typically associated with intussusception. Intussusception is a condition where one portion of the intestine telescopes into another, leading to bowel obstruction and subsequent symptoms such as abdominal pain, vomiting, and "currant jelly" stools.
B. Increased appetite - Increased appetite is unlikely in a toddler with intussusception. Instead, affected toddlers may experience symptoms such as abdominal pain, vomiting, and lethargy, which can lead to decreased appetite.
C. Mucus in stools - Mucus in stools is a characteristic finding in intussusception. As the telescoping of the intestine causes irritation and inflammation, mucus may be passed in the stool along with blood and, in some cases, a characteristic "currant jelly" appearance.
D. Jaundice - Jaundice is not a typical manifestation of intussusception. It may be present in conditions affecting the liver or bile ducts, such as biliary atresia or obstructive jaundice, but it is not a direct symptom of intussusception.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "You will need to take the entire prescription of antibiotics even if your symptoms improve."
Atopic dermatitis is not typically treated with antibiotics, as it is not caused by a bacterial infection. Therefore, this statement is not relevant and would not be included in the teaching.
B. "The doctor will remove the lesions with liquid nitrogen."
Liquid nitrogen is not typically used to remove lesions associated with atopic dermatitis. Atopic dermatitis lesions are usually managed with topical treatments and other measures to reduce inflammation and itching. Therefore, this statement is not accurate and would not be included in the teaching.
C. "The doctor might recommend an antihistamine to help control your symptoms."
Antihistamines may be prescribed to help relieve itching associated with atopic dermatitis. Itching is a common symptom of atopic dermatitis, and antihistamines can help reduce this symptom. Therefore, this statement is relevant and would be included in the teaching.
D. "You can relieve your child's discomfort by applying warm compresses to the lesions."
Warm compresses can exacerbate itching associated with atopic dermatitis by increasing blood flow.
Correct Answer is C
Explanation
A. Maintain seizure precautions:
While seizures can occur as a complication of bacterial meningitis, maintaining seizure precautions is not the nurse's priority at this stage. Prompt administration of antibiotics to address the underlying infection takes precedence over seizure precautions.
B. Document intake and output:
Documenting intake and output is an important nursing responsibility, but it is not the priority when a child is suspected of having bacterial meningitis. The immediate priority is to initiate antibiotic therapy to treat the infection and prevent further complications.
C. Administer antibiotics when available:
Administering antibiotics is the priority in the care of a child with suspected bacterial meningitis. Antibiotics are crucial for treating the infection and preventing its progression to reduce the risk of serious complications such as brain damage or death.
D. Reduce environmental stimuli:
While reducing environmental stimuli can help manage symptoms and discomfort in a child with bacterial meningitis, it is not the priority at this time. Initiating antibiotic therapy is essential to address the underlying infection, which takes precedence over environmental stimuli reduction.
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