A nurse is caring for an infant who has inadequate motility of a portion of the intestine, resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders?

Pyloric stenosis

Hirschsprung's disease

Enterocolitis

Intussusception

Answer and Explanation

The Correct Answer is B

A.   Pyloric stenosis involves narrowing of the pylorus, causing vomiting and dehydration, not mechanical obstruction due to motility issues.
B.   Hirschsprung's disease is a condition where part of the intestine lacks proper motility due to missing nerve cells, leading to a mechanical obstruction and constipation.

C.   Enterocolitis typically involves inflammation and infection of the intestines, not a motility issue.
D.   Intussusception is a condition where one part of the intestine telescopes into another, causing an obstruction, but it is not related to motility.

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Correct Answer is C

Explanation

A. Vibration is typically performed during exhalation, not inspiration. This helps to loosen secretions.
B. Percussion should not last 15 minutes per lung segment; it is generally performed for shorter periods to avoid discomfort or injury.
C. Administering albuterol prior to CPT helps open the airways, making it easier for the child to expectorate secretions. This is a standard practice for improving the effectiveness of CPT.
D. It is not recommended to perform CPT immediately after a meal, as it may increase the risk of aspiration or discomfort. It is usually advised to wait at least 30 minutes after eating.

A. 2 to 3 days after surgery B. 7 to 10 days after surgery C. 4 to 6 days after surgery D. 11 to 14 days after surgery

Correct Answer is B

Explanation

A. The first few days after surgery can involve some bleeding as part of normal healing, but the greatest risk for hemorrhage occurs later.
B. The greatest risk for post-operative hemorrhage after a tonsillectomy is typically 7 to 10 days post- surgery when the scabs formed in the throat start to fall off.
C. The 4 to 6-day window does not correlate with the peak risk for hemorrhage, which is typically observed later in the healing process.
D. The 11 to 14-day period is past the time when hemorrhage is most likely to occur.

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A nurse is caring for an infant who has inadequate motility of a portion of the intestine, resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has cystic fibrosis and receives chest physiotherapy (CPT). Which of the following actions should the nurse plan to take?

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Explanation

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Correct Answer is B

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