A nurse is caring for an 8-year-old during a well-child exam. The parent states that the child's cousin has intussusception and asks if their child is at risk. Which of the following responses should the nurse make?
"Since there's a family history, your child is at a higher risk of intussusception."
"Intussusception is more common in infants and toddlers, so your child is at a lower risk."
"The risk of intussusception remains the same across all age groups, so your child has an equal risk."
"Intussusception is a common condition in school-age children, so your child is at a higher risk."
The Correct Answer is B
A. "Since there's a family history, your child is at a higher risk of intussusception." is not entirely accurate. Family history does not significantly increase the risk of intussusception. It is more commonly seen in infants and toddlers, not school-age children.
B. "Intussusception is more common in infants and toddlers, so your child is at a lower risk." is correct. Intussusception typically occurs in infants and toddlers between the ages of 6 months and 3 years, so the risk is lower in school-age children.
C. "The risk of intussusception remains the same across all age groups, so your child has an equal risk." is incorrect. The incidence of intussusception is higher in younger children, particularly those under 2 years old.
D. "Intussusception is a common condition in school-age children, so your child is at a higher risk." is incorrect. Intussusception is less common in school-age children and is more frequently seen in younger children.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is the correct answer. Hirschsprung's disease causes a lack of nerve cells in the colon, leading to difficulty with bowel movement. The result is constipation and the passage of small, ribbon-like stools due to the narrowed areas of the colon. The stool can also be foul-smelling.
B. "Currant jelly" stool is typically associated with intussusception, not Hirschsprung's disease. This stool appears red and mucus-like and suggests a bowel obstruction or infection.
C. Foul-smelling, fatty stools (steatorrhea) are characteristic of malabsorption disorders like cystic fibrosis, not Hirschsprung's disease.
D. Mucoid, bloody diarrhea is more common in conditions like infectious colitis or inflammatory bowel disease, not Hirschsprung's disease.
Correct Answer is A
Explanation
A. The absolute neutrophil count (ANC) is the best indicator of a child's ability to fight infection. Neutrophils are a type of white blood cell crucial for fighting bacterial infections, and chemotherapy can suppress bone marrow production of neutrophils. The ANC helps assess the risk for infection and the need for additional precautions, such as infection control.
B. Eosinophils are a type of white blood cell that primarily respond to allergies and parasitic infections, and their count is not used to assess infection risk in chemotherapy patients.
C. The red blood cell count (RBC) is important for assessing oxygen-carrying capacity but does not directly relate to infection-fighting ability.
D. Hemoglobin (Hgb) reflects the oxygen-carrying capacity of the blood, not the body's ability to fight infection.
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