A nurse is collecting data from a 4-month-old infant who has intussusception. Which of the following findings should the nurse expect?
Bloody stools
Periorbital edema
Polyuria
Ascites
The Correct Answer is A
A. Bloody stools. This is correct. A classic sign of intussusception in infants is the presence of "currant jelly" stools, which are stools that are bloody and mucous. This results from the ischemia and inflammation caused by the telescoping of the intestine.
B. Periorbital edema. Periorbital edema is not a typical finding of intussusception. It is more commonly seen with conditions such as nephrotic syndrome or allergic reactions.
C. Polyuria. Polyuria is not associated with intussusception. This condition typically presents with symptoms such as vomiting, abdominal pain, and bloody stools, rather than abnormal urine output.
D. Ascites. Ascites, or abdominal fluid accumulation, is not a characteristic finding of intussusception. While abdominal distension may occur due to the obstruction, ascites would be more suggestive of a different condition, such as liver disease or heart failure.
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Related Questions
Correct Answer is C
Explanation
A. Perform chest physiotherapy. This is not a standard intervention for influenza type B. Chest physiotherapy is typically used for conditions such as pneumonia or cystic fibrosis, but not for influenzae infections.
B. Administer gamma globulin. Gamma globulin is not typically administered for influenza type B, as it is not a standard treatment for this viral infection.
C. Implement droplet precautions. This is correct. Influenza type B is transmitted via droplets, so droplet precautions are necessary to prevent the spread of the virus to others. The child should be placed in a private room, and staff should wear a mask when entering the room.
D. Instruct the parent about antibiotic therapy. Antibiotics are not effective against viral infections such as influenza type B. This statement is incorrect, as antiviral medications like oseltamivir (Tamiflu) may be prescribed, but antibiotics would not be used unless there is a secondary bacterial infection.
Correct Answer is C
Explanation
A. Maintaining continuous cool eye compresses is incorrect. While cool compresses can help relieve discomfort, continuous application is unnecessary. Intermittent warm or cool compresses are more appropriate.
B. Applying antibiotic eye ointment in the morning is incorrect because viral conjunctivitis is caused by a virus, not bacteria, so antibiotics are not effective in treating it.
C. Cleansing the eye by wiping downward outward from the inner canthus is correct. This technique helps prevent the spread of infection and keeps the eye clean by moving debris and discharge away from the tear ducts.
D. Using a corticosteroid ointment until the infection subsides is incorrect because corticosteroids are generally not recommended for viral conjunctivitis. They may suppress the immune response and prolong the infection.
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